| 2023 Basic Medicaid Eligibility Requirements | Manual | pdf | 165 KB | | basic-medicaid-eligibility-requirements health-benefits-nc-medicaid | manual |
| ADMINISTRATIVE LETTER NO: 01-11, Self Certification For Life Line Link Up | Administrative Letter | pdf | 19 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| ADULT MEDICAID TABLE OF CONTENTS | Policy | pdf | 126 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| Attachment – DHB Self-Attestation | Administrative Letter | pdf | 240 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| CHANGE NOTICE 10-01, Spousal Income And Resource Protection | Change Notice | pdf | 35 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE 11-01, Exparte Review Of SSI Terminations | Change Notice | pdf | 15 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE 12-01, Definition Of Name And Related Changes | Change Notice | pdf | 18 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE 13-01, Resources Owned By Incompetent Individuals | Change Notice | pdf | 22 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE 14-01, Poverty Level Based Income Limits | Change Notice | pdf | 41 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL 16-01, Table Of Contents And Index | Change Notice | pdf | 17 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL 17-01, Children In PRTFS | Change Notice | pdf | 22 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO 01-06, State Residence | Change Notice | pdf | 19 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO 18-05, Spousal Income Protection | Change Notice | pdf | 25 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-02, Fl-2 Process | Change Notice | pdf | 93 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-02, Spousal Income Protection | Change Notice | pdf | 15 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-03, Recipient Fraud And Abuse Policy | Change Notice | pdf | 47 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-03, Spousal Income Protection And Transfer Of Assets | Change Notice | pdf | 21 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-04, Breast And Cervical Cancer Medicaid | Change Notice | pdf | 40 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-04, Community Spouse Income Allowance | Change Notice | pdf | 16 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-05, Case Mix | Change Notice | pdf | 19 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-05, Spousal Income Protection | Change Notice | pdf | 17 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-06, State Residence | Change Notice | pdf | 22 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-07, Community Alternative Program/Aids Waiver | Change Notice | pdf | 24 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-07, Community Alternative Program/Aids Waiver | Change Notice | pdf | 24 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-08, Community Spouse Income Resource Protection | Change Notice | pdf | 46 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-08, Medicare Deductible | Change Notice | pdf | 23 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-09, Medicaid Id Card/ Family Planning Waiver | Change Notice | pdf | 29 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-09, Medicaid Identification Card | Change Notice | pdf | 26 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-10, Citizen/Alien Requirements | Change Notice | pdf | 34 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-10, Citizen/Alien Requirements | Change Notice | pdf | 37 KB | | 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 | Change Notice | pdf | 31 KB | | adult-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 | Change Notice | pdf | 36 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-12, Non-Emergency Medicaid Transportation | Change Notice | pdf | 104 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-13, Changes Related To 2013 Cost-Of-Living Adjustment (COLA) | Change Notice | pdf | 40 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-13, Indian Health Services | Change Notice | pdf | 22 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-14, HCWD Phase III | Change Notice | pdf | 80 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-14, HCWD Phase III | Change Notice | pdf | 23 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-15, Non-Emergency Medicaid Transportation | Change Notice | pdf | 16 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-15, Non-Emergency Medicaid Transportation | Change Notice | pdf | 16 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-16, Alien Requirements | Change Notice | pdf | 81 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-16, Alien Requirements | Change Notice | pdf | 142 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-17, HCWD Premiums And DDS Address Change | Change Notice | pdf | 28 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-17, Medicaid/NCHC Income/Reserve Limit Charts | Change Notice | pdf | 78 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-19, Enumeration | Change Notice | pdf | 44 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-19, Enumeration | Change Notice | pdf | 170 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-20, 2020 Federal Poverty Level (FPL) Changes | Change Notice | pdf | 108 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-20, 2020 Federal Poverty Level (FPL) Changes | Change Notice | pdf | 210 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-21, Breast and Cervical Cancer Medicaid | Change Notice | pdf | 190 KB | | 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) | Change Notice | pdf | 301 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-22, 2022 Federal Poverty Level Changes | Change Notice | pdf | 233 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-22, Reasonable Compatibility – Corrections and Additions | Change Notice | pdf | 174 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-23, Reasonable Compatibility | Change Notice | pdf | 138 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-23, Reasonable Compatibility | Change Notice | pdf | 240 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-24, 2024 Pickle Amendment | Change Notice | pdf | 150 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 01-24, MA-3200, Application | Change Notice | pdf | 360 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-02, Child Support | Change Notice | pdf | 25 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-03, Medicaid Id Cards | Change Notice | pdf | 19 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-03, Recipient Fraud And Abuse Policy | Change Notice | pdf | 29 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-04, Elimination Of Parental Financial Responsibility For MPW | Change Notice | pdf | 20 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-04, Passalong | Change Notice | pdf | 16 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-05, Manual Cover Page | Change Notice | pdf | 14 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-05, Manual Cover Page | Change Notice | pdf | 10 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-06, Notice And Hearings Process | Change Notice | pdf | 19 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-06, Notice And Hearings Process | Change Notice | pdf | 32 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-07, Medicare Enrollment And Buy In | Change Notice | pdf | 33 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-07, Medicare Enrollment And Buy-In | Change Notice | pdf | 32 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-08, Expanded Foster Care Program | Change Notice | pdf | 17 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-08, Passalong | Change Notice | pdf | 18 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-09, LIS Resource Limits | Change Notice | pdf | 23 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-09, New Medicare Premium And Deductibles | Change Notice | pdf | 24 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-10, LIS Application For Medicaid | Change Notice | pdf | 22 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-10, NCHC Citizenship And CCNC/CA Changes | Change Notice | pdf | 48 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-11, Long Term Care Partnership Program | Change Notice | pdf | 35 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-11, Long Term Care Partnership Program | Change Notice | pdf | 26 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-12, Excess Home Equity Limit | Change Notice | pdf | 18 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-12, Various Changes For 1/1/12 | Change Notice | pdf | 60 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-13, Non Emergency Medical Transportation Policy Adjustments | Change Notice | pdf | 72 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-13, Non Emergency Medical Transportation Policy Adjustments | Change Notice | pdf | 70 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-14, FPL Income Limit Changes | Change Notice | pdf | 41 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-14, FPL Income Limit Changes | Change Notice | pdf | 51 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-15, FPL Income Limit Changes | Change Notice | pdf | 87 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-17, Medicaid/NCHC Income/Reserve Limit Charts | Change Notice | pdf | 20 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-18, Community Spouse Resource Allowance And Low-Income Subsidy | Change Notice | pdf | 14 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-19, Aged, Blind, And Disabled Medicaid Table Of Contents And Non-Magi Medicaid Income/Reserve Limits | Change Notice | pdf | 24 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-19, Breast And Cervical Cancer Medicaid (BCCM) | Change Notice | pdf | 139 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-21, Adult Medicaid Table of Content | Change Notice | pdf | 224 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-21, Family and Children’s Medicaid Table of Contents | Change Notice | pdf | 225 KB | | 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 | Change Notice | pdf | 182 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-22, Money Follows The Person | Change Notice | pdf | 336 KB | | 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 | Change Notice | pdf | 232 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-23, Modified Adjusted Gross Income Budgeting | Change Notice | pdf | 239 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 02-24, Change in Circumstance, Terminations, and Reopening | Change Notice | pdf | 357 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-02, County Of Residence Of Children In Subsidized Adoptions | Change Notice | pdf | 25 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-02, Fl-2 Process | Change Notice | pdf | 14 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-03, Continuation Of Mad When Social Security Terminates Disability | Change Notice | pdf | 24 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-03, NC Health Choice Freeze | Change Notice | pdf | 32 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-04, Labor & Delivery Authorization For Aliens | Change Notice | pdf | 17 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-04, Labor And Delivery For Aliens | Change Notice | pdf | 15 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-05, Medicare Buy-In & Requirement To Enroll In Medicare Part B | Change Notice | pdf | 18 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-05, Medicare Buy-In & Requirement To Enroll In Medicare Part B | Change Notice | pdf | 25 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-06, Medicare Prescription Drug Benefit | Change Notice | pdf | 25 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-06, Medicare Rate Changes | Change Notice | pdf | 21 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-07, Medicare Rate Changes | Change Notice | pdf | 24 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-07, Spousal Protection | Change Notice | pdf | 34 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-08, Community Spouse Income Resource Protection | Change Notice | pdf | 18 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-08, F&C Medicaid And NCHC | Change Notice | pdf | 35 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-09, FPL Income Limit Changes | Change Notice | pdf | 54 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-09, Passalong | Change Notice | pdf | 18 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-10, Citizen/Alien Requirements | Change Notice | pdf | 25 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-10, MQB Resource Change | Change Notice | pdf | 19 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-11, Pregnancy Medical Home | Change Notice | pdf | 35 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-11, Pregnancy Medical Home | Change Notice | pdf | 41 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-12, Update Of Yearly Levels | Change Notice | pdf | 22 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-13, FPL Income Limit Changes | Change Notice | pdf | 84 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-13, FPL Income Limit Changes | Change Notice | pdf | 84 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-15, Non-Emergency Medical Transportation | Change Notice | pdf | 58 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-18, Health Coverage For Workers With Disabilities (HCWD) Premiums | Change Notice | pdf | 25 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-18, Revision And Relocation Of Policy: Estate Recovery, Pregnant Woman Coverage, Auto Newborn & Community Alternatives Program (CAP) | Change Notice | pdf | 15 MB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-19, Alliant Health Solutions | Change Notice | pdf | 114 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-19, Family And Children’s Medicaid Table Of Contents And Twelve Months Transitional Medicaid | Change Notice | pdf | 162 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-20, Community Alternative Program (CAP) | Change Notice | pdf | 133 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-20, Community Alternative Program (CAP) | Change Notice | pdf | 238 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-21, Disability | Change Notice | pdf | 271 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-21, Reasonable Compatibility | Change Notice | pdf | 365 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-22, Money Follows The Person | Change Notice | pdf | 336 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-22, Pregnant Woman Coverage | Change Notice | pdf | 234 KB | | 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 | Change Notice | pdf | 256 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-23, Recertification | Change Notice | pdf | 285 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 03-24, Notice and Hearings Process | Change Notice | pdf | 356 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-02, Real Property Contiguous To The Homesite | Change Notice | pdf | 14 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-02, Reviewing Ongoing Eligibility At End Of Newborn Protection | Change Notice | pdf | 15 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-03, Application Processing, MA-3200, Initial Contact | Change Notice | pdf | 45 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-03, Medicaid ID Cards | Change Notice | pdf | 17 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-04, End Of Earned Income Disregard | Change Notice | pdf | 16 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-04, Overrides For SSI Cases | Change Notice | pdf | 14 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-05, Case Mix | Change Notice | pdf | 20 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-05, County Transfers | Change Notice | pdf | 22 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-06, Spousal Protection | Change Notice | pdf | 25 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-06, Twelve Months Transitional Medicaid | Change Notice | pdf | 14 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-07, Passalong | Change Notice | pdf | 18 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-08, 2008 LIS Updates | Change Notice | pdf | 25 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-08, Citizenship And Identity | Change Notice | pdf | 17 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-09, Community Spouse Resource Allowance | Change Notice | pdf | 46 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-09, Confidentiality | Change Notice | pdf | 22 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-10, Citizen/Alien Requirements | Change Notice | pdf | 25 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-10, IV-D Sanctions For Non-Cooperation | Change Notice | pdf | 24 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-11, FPL Income Limit Changes | Change Notice | pdf | 39 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-11, FPL Income Limit Changes | Change Notice | pdf | 54 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-12, Tax Refund Exclusion | Change Notice | pdf | 19 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-13, Medicaid Suspension For Incarcerated Beneficiaries | Change Notice | pdf | 82 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-14, Community Spouse Resource Protection | Change Notice | pdf | 59 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-14, Spousal Impoverishment Standards | Change Notice | pdf | 47 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-15, Non-Emergency Medical Transportation | Change Notice | pdf | 57 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-17, Special Needs Trust | Change Notice | pdf | 13 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-18, Transfer Of Assets, Home Equity Value And Low-Income Subsidy Limits/Resources | Change Notice | pdf | 115 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-19, 2019 Federal Poverty Level Changes (FPL) And Health Coverage For Workers With Disabilities | Change Notice | pdf | 127 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-19, Alliant Health Solutions | Change Notice | pdf | 172 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-20, Living Arrangement – Amended | Change Notice | pdf | 284 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-20, Living Arrangement – Amended | Change Notice | pdf | 296 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-21, Beneficiary Fraud and Abuse Policy and Procedures | Change Notice | pdf | 258 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-22, Non-Emergency Medical Transportation (NEMT) | Change Notice | pdf | 351 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-22, Traumatic Brain Injury (TBI) | Change Notice | pdf | 140 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-23, Medically Needy Recertification | Change Notice | pdf | 443 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 04-23, Medically Needy Recertification | Change Notice | pdf | 708 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-02, Child Support | Change Notice | pdf | 16 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-02, Confidentiality | Change Notice | pdf | 13 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-03, Application Processing, MA-2300, Initial Contact | Change Notice | pdf | 32 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-03, Application Processing, MA-3205, Conducting A Face-To-Face Interview | Change Notice | pdf | 33 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-04, Notice And Hearing Procedures | Change Notice | pdf | 14 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-04, Notice And Hearings | Change Notice | pdf | 16 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-05, County Transfers | Change Notice | pdf | 26 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-05, Re-Enrollment | Change Notice | pdf | 24 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-06, NCHC Move To Expanded Medicaid | Change Notice | pdf | 34 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-06, Passalong | Change Notice | pdf | 18 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-07, Citizenship & Identity Changes | Change Notice | pdf | 35 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-08, Program Of All-Inclusive Care For The Elderly (PACE) | Change Notice | pdf | 34 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-08, Student Earned Income Exclusion | Change Notice | pdf | 19 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-09, FPL Income Limit Changes | Change Notice | pdf | 57 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-09, Health Coverage For Workers With Disabilities Phase II | Change Notice | pdf | 18 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-10, Disproportionate Share Hospitals And Federally Qualified Health Centers | Change Notice | pdf | 25 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-10, NCHC Mandatory Participation In CCNC/CA | Change Notice | pdf | 32 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-11, Recipient Fraud And Abuse Policy And Procedures | Change Notice | pdf | 25 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-11, Recipient Fraud And Abuse Policy And Procedures | Change Notice | pdf | 24 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-12, FPL Income Changes | Change Notice | pdf | 19 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-12, Various Changes For 03/01/12: SGA & Tax Refund Exclusion | Change Notice | pdf | 25 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-13, Additions, Clarifications, Corrections, Deletions And/Or Updates | Change Notice | pdf | 25 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-13, Medicaid Suspension For Incarcerated Beneficiaries | Change Notice | pdf | 87 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-14, Changes Related To 2015 Cost-Of-Living Adjustment (COLA) | Change Notice | pdf | 58 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-14, Changes Related To 2015 Cost-Of-Living Adjustment (COLA) | Change Notice | pdf | 90 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-17, Disability | Change Notice | pdf | 95 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-18, Adoption Medical Assistance, Foster Care Medical Assistance, Former Foster Children (MFC), Expanded Foster Care Program (EFCP) And MAGI Medicaid/NCHC Income Limits Chart | Change Notice | pdf | 73 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-18, Changes Related To 2019 Cost-Of-Living Adjustment (COLA) | Change Notice | pdf | 9 MB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-19, 2019 Federal Poverty Level Changes (FPL) | Change Notice | pdf | 112 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-19, Notice and Hearings Process | Change Notice | pdf | 212 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-20, Tribal Membership and American Indian Health Service | Change Notice | pdf | 273 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-21, 2021 Federal Poverty Level Changes | Change Notice | pdf | 237 KB | | family-and-childrens-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 | Change Notice | pdf | 227 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-22, Non-Emergency Medical Transportation (NEMT) | Change Notice | pdf | 249 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-23, Change in Circumstance, Terminations, and Reopening | Change Notice | pdf | 372 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 05-23, Modified Adjusted Gross Income (MAGI) Recertification | Change Notice | pdf | 546 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-02, Confidentiality | Change Notice | pdf | 16 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-02, Extended Medicaid | Change Notice | pdf | 86 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-03, Application Processing, Ma-2301, Conducting A Face-To-Face Intake Interview | Change Notice | pdf | 33 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-03, Application Processing, MA-3207, Receiving Mail-In Applications | Change Notice | pdf | 29 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-04, Kinship & Living With | Change Notice | pdf | 16 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-04, Transfers Of Resources In The Month Of Receipt | Change Notice | pdf | 23 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-05, Medicaid Covered Services | Change Notice | pdf | 18 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-05, Redetermination | Change Notice | pdf | 20 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-06, Gaming Proceeds For Eastern Band Of Cherokee Nation | Change Notice | pdf | 17 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-06, Notice And Hearings Process | Change Notice | pdf | 18 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-07, Community Care Of North Carolina/Carolina Access | Change Notice | pdf | 27 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-07, Part D Prescription Drug Benefits And LIS | Change Notice | pdf | 21 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-08, Citizenship And Identity | Change Notice | pdf | 20 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-08, NC EITC And Temporary Census Worker Income | Change Notice | pdf | 100 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-09, Confidentiality | Change Notice | pdf | 22 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-09, Iraqi/Afghan Special Refugees | Change Notice | pdf | 19 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-10, Citizen/Alien Requirements | Change Notice | pdf | 69 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-10, Passalong And MWD Reserve | Change Notice | pdf | 20 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-11, Incompetency Policy | Change Notice | pdf | 18 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-12, FPL Income Limit Changes | Change Notice | pdf | 25 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-13, Additions, Clarifications, Corrections, Deletions And/Or Updates | Change Notice | pdf | 29 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-13, Certification Periods | Change Notice | pdf | 20 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| 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) | Change Notice | pdf | 557 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-18, Qualified Medicare Beneficiaries (MQB-Q, MQB-B & MQB-E), Community Alternatives Program (CAP) And Estate Recovery | Change Notice | pdf | 12 MB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-19, Notice and Hearings Process, and Twelve Month Transitional Medicaid | Change Notice | pdf | 217 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-20, Tribal Membership and American Indian Health Service | Change Notice | pdf | 371 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-21, Beneficiary Fraud and Abuse Policy and Procedures | Change Notice | pdf | 278 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-22, Disability | Change Notice | pdf | 427 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-23, 2023 Pickle Amendment | Change Notice | pdf | 141 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 06-23, Change of Circumstance, Terminations, and Reopening | Change Notice | pdf | 191 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-01, Definition of Name and Related Changes | Change Notice | pdf | 20 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-02, Four Months Transitional Medicaid | Change Notice | pdf | 19 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-02, Terminations/Deletions | Change Notice | pdf | 16 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-03, Application Processing, Ma-2303, Verification Requirements For Applications | Change Notice | pdf | 34 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-03, Application Processing, Ma-3210, Verification Requirements For Applications | Change Notice | pdf | 34 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-04, Certification & Authorization | Change Notice | pdf | 16 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-04, Verifying Job Bonus Earnings & Treatment Of Severance Pay | Change Notice | pdf | 23 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-05, Medicaid Covered Services | Change Notice | pdf | 18 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-05, NCHC Classification Changes | Change Notice | pdf | 20 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-06, Child Support | Change Notice | pdf | 34 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-06, Community Alternatives Program (CAP) Deductible | Change Notice | pdf | 16 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-07, Breast And Cervical Cancer Medicaid | Change Notice | pdf | 18 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-07, Citizenship & Identity Changes | Change Notice | pdf | 24 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-08, FPL Income Limit Changes | Change Notice | pdf | 60 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-08, Program Of All Inclusive Care For The Elderly (PACE) | Change Notice | pdf | 68 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-09, Health Coverage For Workers With Disabilities Phase II | Change Notice | pdf | 45 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-10, IV-D Sanctions For Non-Cooperation | Change Notice | pdf | 24 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-10, NC Health Choice | Change Notice | pdf | 19 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-11, 2011 Medicare Deductible, Co-Insurance, Medicaid ICF/MR, Hospice Rates | Change Notice | pdf | 31 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-11, Community Spouse Resource Protection | Change Notice | pdf | 20 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-12, Emergency Medical Review Contractor Update | Change Notice | pdf | 19 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-13, Certification Periods | Change Notice | pdf | 17 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-13, Community Spouse Resource Protection | Change Notice | pdf | 18 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-15, Spousal Impoverishment Standards | Change Notice | pdf | 12 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-18, Notice And Hearings Process | Change Notice | pdf | 159 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-19, Breast And Cervical Cancer Medicaid (BCCM) | Change Notice | pdf | 64 KB | | 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 | Change Notice | pdf | 73 KB | | 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 | Change Notice | pdf | 62 KB | | 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) | Change Notice | pdf | 370 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-23, Reasonable Compatibility | Change Notice | pdf | 242 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 07-23, Traumatic Brain Injury | Change Notice | pdf | 166 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 08-01, Resources Owned by Incompetent Individuals | Change Notice | pdf | 22 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 08-02, Family & Children’s Income | Change Notice | pdf | 46 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 08-02, Transfer Of Resources And Homesite | Change Notice | pdf | 29 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 08-03, Application Processing, MA-2304, Processing The Application | Change Notice | pdf | 56 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 08-03, Application Processing, MA-3215, Processing The Application | Change Notice | pdf | 51 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 08-04, Immigrant Access Notice | Change Notice | pdf | 26 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 08-04, Treatment Of Severance Pay | Change Notice | pdf | 15 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 08-05, BCCM Monthly Reports | Change Notice | pdf | 21 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 08-05, CAP | Change Notice | pdf | 42 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 08-06, Notice And Hearings Process | Change Notice | pdf | 18 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 08-06, Poverty Income Limits | Change Notice | pdf | 52 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 08-07, Community Care Of North Carolina/Carolina Access | Change Notice | pdf | 24 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 08-07, Poverty Income Limits | Change Notice | pdf | 57 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 08-08, Exclusion Of Days For More Time Or For The NCHC Enrollment Fee | Change Notice | pdf | 28 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 08-08, NC EITC And Temporary Census Worker Income | Change Notice | pdf | 22 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 08-09, Iraqi/Afghan Special Refugees | Change Notice | pdf | 19 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 08-09, Office Of Civil Rights (OCR) Policy Verbiage Changes | Change Notice | pdf | 20 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 08-10, Disproportionate Share Hospitals And Federally Qualified Health Centers | Change Notice | pdf | 24 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 08-10, US Citizenship Requirements/Alien Requirements | Change Notice | pdf | 32 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 08-11, 2011 Medicare Deductible And Co-Insurance Rates | Change Notice | pdf | 23 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 08-11, MQB Family Size Budgeting | Change Notice | pdf | 18 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 08-12, Medicaid Identification Card | Change Notice | pdf | 18 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 08-13, Spousal Impoverishment Standards | Change Notice | pdf | 20 KB | | 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 | Change Notice | pdf | 2 MB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 08-21, Alien Requirements | Change Notice | pdf | 266 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 08-21, Alien Requirements | Change Notice | pdf | 320 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 08-23, Estate Recovery | Change Notice | pdf | 177 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 08-23, Estate Recovery | Change Notice | pdf | 259 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 09-02, F&C Budgeting And Ex Parte Reviews | Change Notice | pdf | 18 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 09-02, Spousal Resource And Income Protection | Change Notice | pdf | 42 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 09-03, Application Processing, MA-2305, Evaluating County/DDS Performance | Change Notice | pdf | 41 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 09-03, Application Processing, Ma-3217, Evaluating County/DDS Performance | Change Notice | pdf | 41 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 09-04, Immigrant Access Notice | Change Notice | pdf | 25 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 09-04, NC Health Choice Copayments | Change Notice | pdf | 42 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 09-05, County Residence And Medicare Enrollment & Buy-In | Change Notice | pdf | 20 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 09-05, Re-Enrollment & Buy-In | Change Notice | pdf | 22 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 09-06, Change In Mr-2 Review Process | Change Notice | pdf | 16 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 09-07, Classification And Evaluation | Change Notice | pdf | 18 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 09-08, Medicaid Deductibles | Change Notice | pdf | 19 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 09-08, United States Citizenship And Immigration Services (USCIS) | Change Notice | pdf | 23 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 09-09, Office Of Civil Rights (OCR) Policy Verbiage Changes | Change Notice | pdf | 20 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 09-10, Community Alternative Program (CAP) | Change Notice | pdf | 23 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 09-10, MQB Resource Limits | Change Notice | pdf | 17 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 09-11, Figures/Attachments Removal | Change Notice | pdf | 33 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 09-11, Figures/Attachments Removal | Change Notice | pdf | 32 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 09-12, Managed Care Organizations For Behavioral Health (MCO) | Change Notice | pdf | 24 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 09-12, Medicaid Identification Card | Change Notice | pdf | 17 KB | | 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 | Change Notice | pdf | 67 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 09-18, Notice And Hearings Process | Change Notice | pdf | 99 KB | | 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 | Change Notice | pdf | 377 KB | | 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) | Change Notice | pdf | 136 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 09-21, Tribal Membership and American Indian Health Services (IHS) | Change Notice | pdf | 236 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 09-23, State Residency | Change Notice | pdf | 253 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 09-23, State Residency | Change Notice | pdf | 356 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-01, Poverty Level Income Limits | Change Notice | pdf | 52 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-02, Breast & Cervical Cancer Medicaid | Change Notice | pdf | 38 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-02, Use Of Social Security Numbers | Change Notice | pdf | 22 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-03, Application Processing | Change Notice | pdf | 68 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-03, Application Processing | Change Notice | pdf | 68 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-04, Change In Situation When Social Security Denied | Change Notice | pdf | 16 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-04, Medicare Part A And B Amount Changes | Change Notice | pdf | 17 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-05, Medicare Rate Changes | Change Notice | pdf | 21 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-05, Notice & Hearings | Change Notice | pdf | 27 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-06, Poverty Income Limits | Change Notice | pdf | 55 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-06, State Residence | Change Notice | pdf | 22 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-07, Poverty Income Levels | Change Notice | pdf | 53 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-07, Resources – Change In Situation | Change Notice | pdf | 15 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-08, Affidavit Of Parentage | Change Notice | pdf | 22 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-08, FPL Income Limit Changes | Change Notice | pdf | 55 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-09, Citizenship For Medicaid Verified Birth | Change Notice | pdf | 20 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-09, Minimum Community Spouse Income Allowance | Change Notice | pdf | 22 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-10, Citizen/Alien Requirements | Change Notice | pdf | 66 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-10, Military Locator Information, Railroad Retirement Benefits And Veteran’s Benefits Verification | Change Notice | pdf | 22 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-11, CCNC/CA Mandatory Enrollment Of SAA Recipients & Figures/Attachments Removal | Change Notice | pdf | 21 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-11, RSDI/SSI Disability & Figures/Attachments Removal | Change Notice | pdf | 25 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-12, Managed Care Organizations For Behavioral Health (MCO) | Change Notice | pdf | 25 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-12, Transfer Of Assets | Change Notice | pdf | 18 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-13, Changes Related To 2014 Cost-Of-Living Adjustment (COLA) | Change Notice | pdf | 69 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-18, Change Notice For Manual No. 10-18, Income | Change Notice | pdf | 29 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-19, Low Income Subsidy Income Limits | Change Notice | pdf | 22 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-21, Family Planning Program | Change Notice | pdf | 258 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-21, Family Planning Program | Change Notice | pdf | 258 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-23, edicare Enrollment & Buy-In | Change Notice | pdf | 252 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 10-23, Medicare Enrollment & Buy-In | Change Notice | pdf | 350 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-01, Medicaid Terminations | Change Notice | pdf | 17 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-02, Disability Determinations | Change Notice | pdf | 27 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-02, NCHC Waiting Period & Enumeration | Change Notice | pdf | 46 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-03, Application Processing, MA-2306, Corrective Action Procedures | Change Notice | pdf | 32 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-03, Application Processing, Ma-3225, Corrective Action Procedures | Change Notice | pdf | 33 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-04, Four Months Transitional Medicaid | Change Notice | pdf | 21 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-04, Spousal Protection | Change Notice | pdf | 37 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-05, CAP | Change Notice | pdf | 32 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-05, Spousal Protection | Change Notice | pdf | 40 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-06, Child Support | Change Notice | pdf | 32 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-06, Community Care Of North Carolina/Carolina Access | Change Notice | pdf | 15 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-07, Living Allowance For Ineligible Child/Ineligible Spouse | Change Notice | pdf | 15 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-07, Medicaid Family Planning Waiver Freeze | Change Notice | pdf | 17 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-08, Exclusion Of Days For More Time Or For The NCHC Enrollment Fee | Change Notice | pdf | 24 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-08, Recipient Fraud And Abuse Policy And Procedures | Change Notice | pdf | 30 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-09, Citizenship For Medicaid Verified Birth | Change Notice | pdf | 19 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-09, Eligibility Of Individuals Under Age 21 | Change Notice | pdf | 21 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-10, Series # 1 Of Corrections, Additions, Deletions And/Or Updates | Change Notice | pdf | 29 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-10, US Citizenship Requirements/Alien Requirements | Change Notice | pdf | 25 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-11, DVA Assistance With Veteran’s Benefits | Change Notice | pdf | 18 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-11, DVA Assistance With Veteran’s Benefits | Change Notice | pdf | 19 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-12, IV-E Adoption Assistance And Foster Care Payments | Change Notice | pdf | 17 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-12, Program Of All-Inclusive Care For The Elderly (Pace) | Change Notice | pdf | 16 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-13, Changes Related To 2014 Cost-Of-Living Adjustment (COLA) | Change Notice | pdf | 23 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-18, Inquiry, Discouragement, Application & Outstations | Change Notice | pdf | 246 KB | | 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 | Change Notice | pdf | 99 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-19, Introduction To Medicaid | Change Notice | pdf | 157 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-21, Changes Related To 2022 Cost-Of-Living Adjustment (COLA) | Change Notice | pdf | 222 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 11-21, Reasonable Compatibility | Change Notice | pdf | 345 KB | | 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 | Change Notice | pdf | 190 KB | | 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 | Change Notice | pdf | 370 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 12-01, Medicaid Terminations | Change Notice | pdf | 18 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 12-02, Children With Protected Disability Status | Change Notice | pdf | 22 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 12-03, Impairment Related Work Expenses & In-Kind Income | Change Notice | pdf | 23 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 12-03, Notices | Change Notice | pdf | 40 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 12-04, BCIS Address Change | Change Notice | pdf | 18 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 12-04, BCIS Address Change | Change Notice | pdf | 17 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 12-05, Medicaid Working Disabled | Change Notice | pdf | 17 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 12-05, Notice & Hearings | Change Notice | pdf | 20 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 12-06, Spousal Income Protection | Change Notice | pdf | 22 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 12-06, SSI Medicaid | Change Notice | pdf | 17 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 12-07, Spousal Income Protection | Change Notice | pdf | 32 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 12-08, Application Addendum Medicaid Family Planning Waiver (FPW) Program | Change Notice | pdf | 19 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 12-08, United States Citizenship And Immigration Services (USCIS) | Change Notice | pdf | 23 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 12-09, Auto Newborn, Family Planning Waiver, Special Needs Children, HCWD Phase II | Change Notice | pdf | 34 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 12-09, County Residence | Change Notice | pdf | 19 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 12-10, Community Alternative Program (CAP) | Change Notice | pdf | 36 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 12-10, Medicaid Identification Card | Change Notice | pdf | 17 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 12-11, CCNC/CA Mandatory Enrollment Of SAA Recipients & Figures/Attachments Removal | Change Notice | pdf | 22 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 12-11, Simplification Of Re-Enrollment For MIC/NCHC | Change Notice | pdf | 33 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 12-12, NEMT Policy Adjustments | Change Notice | pdf | 24 KB | | family-and-childrens-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 | Change Notice | pdf | 225 KB | | 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 | Change Notice | pdf | 98 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 12-21, Reasonable Compatibility | Change Notice | pdf | 245 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 12-23, Automated Inquiry and Match Procedures | Change Notice | pdf | 175 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 12-23, Automated Inquiry and Match Procedures | Change Notice | pdf | 176 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 13-01, Terminations and Pregant Woman Coverage | Change Notice | pdf | 23 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 13-02, Enumeration In NC Health Choice | Change Notice | pdf | 17 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 13-03, Application Processing | Change Notice | pdf | 46 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 13-03, NC Health Choice | Change Notice | pdf | 18 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 13-04, Save | Change Notice | pdf | 24 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 13-04, Save | Change Notice | pdf | 24 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 13-05, Automated Inquiry And Match Procedures | Change Notice | pdf | 22 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 13-05, Automated Inquiry And Match Procedures | Change Notice | pdf | 22 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 13-06, Citizenship & Identity | Change Notice | pdf | 75 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 13-07, Community Alternatives Program (CAP) Medicaid Eligibility | Change Notice | pdf | 16 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 13-07, Medicaid Covered Services | Change Notice | pdf | 28 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 13-08, Iraqi/Afghan Special Immigrants And The Carolinas Center For Medical Excellence (CCME) Procedures For Alien Emergency Medical Record Review | Change Notice | pdf | 29 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 13-09, Community Care Of North Carolina/Carolina Access | Change Notice | pdf | 40 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 13-10, Community Care Of North Carolina/Carolina Access New Codes | Change Notice | pdf | 21 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 13-10, Military Locator Information, Railroad Retirement Benefits And Veteran’s Benefits Verification | Change Notice | pdf | 21 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 13-11, Correction Of Reserve Limit Error | Change Notice | pdf | 16 KB | | 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 | Change Notice | pdf | 33 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 13-12, Veteran Benefit Verification | Change Notice | pdf | 22 KB | | 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 | Change Notice | pdf | 233 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 13-18, Inquiry, Discouragement, Application & Outstations | Change Notice | pdf | 115 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 13-19, Changes Related To 2020 Cost-Of-Living Adjustment (COLA) | Change Notice | pdf | 266 KB | | 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 | Change Notice | pdf | 79 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 13-21, 2022 Pickle Amendment and Nursing Facility Rates | Change Notice | pdf | 176 KB | | 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) | Change Notice | pdf | 292 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 13-23, Medicaid Expansion | Change Notice | pdf | 352 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 14-01, Children in PRTFs | Change Notice | pdf | 21 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 14-02, Re-Enrollments | Change Notice | pdf | 21 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 14-03, Parental Financial Responsibility In MPW | Change Notice | pdf | 36 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 14-04, Poverty Level Income Limits | Change Notice | pdf | 49 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 14-04, Poverty Level Income Limits | Change Notice | pdf | 50 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 14-05, Passalong | Change Notice | pdf | 18 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 14-05, Poverty Level Income Limits | Change Notice | pdf | 51 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 14-06, Medicaid Identification Card | Change Notice | pdf | 14 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 14-06, State Residence | Change Notice | pdf | 24 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 14-07, Community Care Of North Carolina/Carolina Access | Change Notice | pdf | 22 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 14-08, Affidavit Of Parentage | Change Notice | pdf | 22 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 14-08, CCNC/CA | Change Notice | pdf | 27 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 14-09, Citizenship & Identity For Auto Newborns | Change Notice | pdf | 19 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 14-09, Medicaid Identification Card | Change Notice | pdf | 28 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 14-10, Estate Recovery | Change Notice | pdf | 23 KB | | 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 | Change Notice | pdf | 30 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 14-11, Medicaid Covered Services | Change Notice | pdf | 28 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 14-11, Minimum Community Spouse Income Allowance | Change Notice | pdf | 21 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 14-12, Minimum Community Spouse Income Allowance | Change Notice | pdf | 22 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 14-18, Alien Requirements, Family Planning Program, Post Eligibility Verification & Managed Care | Change Notice | pdf | 103 KB | | 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) | Change Notice | pdf | 266 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 14-23, Recertification | Change Notice | pdf | 164 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 15-02, New Family And Children’s Medicaid Manual | Change Notice | pdf | 29 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 15-03, Transfer Of Resources And In-Home Health Services | Change Notice | pdf | 40 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 15-04, Disability Procedures | Change Notice | pdf | 27 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 15-05, Poverty Level Income Limits | Change Notice | pdf | 54 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 15-05, Third Party Recovery | Change Notice | pdf | 25 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 15-06, Medicaid Transportation | Change Notice | pdf | 35 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 15-06, Motor Vehicle Exclusion | Change Notice | pdf | 20 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 15-07, Citizen/Alien Requirements | Change Notice | pdf | 31 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 15-07, Medicare Enrollment And Buy-In | Change Notice | pdf | 21 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 15-08, Transfer Of Assets Clarification | Change Notice | pdf | 26 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 15-09, Community Care Of North Carolina/Carolina Access | Change Notice | pdf | 40 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 15-10, Health Insurance Premium Payment | Change Notice | pdf | 16 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 15-10, Medicaid Identification Card | Change Notice | pdf | 16 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 15-11, ABD Manual Sections Impacted By Simplification Of Re-Enrollment For Mic/NCHC (F&C Change Notice 12-11) | Change Notice | pdf | 27 KB | | adult-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 | Change Notice | pdf | 116 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 15-12, Acceptance Of Fax Applications | Change Notice | pdf | 20 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 15-12, Emergency Medical Review Contractor Update | Change Notice | pdf | 21 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 15-19, Community Alternatives Program (CAP) | Change Notice | pdf | 186 KB | | 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) | Change Notice | pdf | 4 MB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 15-23, MAGI Adult Medicaid Expansion | Change Notice | pdf | 354 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 15-23, Medically Needy Recertification | Change Notice | pdf | 164 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 16-02, Poverty Level Income Limits | Change Notice | pdf | 49 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 16-03, Poverty Level Income Limits | Change Notice | pdf | 50 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 16-04, Mandatory Outstations | Change Notice | pdf | 16 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 16-05, Blindness M-SM | Change Notice | pdf | 29 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 16-05, Medicaid Identification Card | Change Notice | pdf | 22 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 16-06, Community Care Of North Carolina/Carolina Access | Change Notice | pdf | 67 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 16-06, Re-Enrollment | Change Notice | pdf | 15 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 16-07, Expanded Foster Care Program | Change Notice | pdf | 100 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 16-07, Redetermination Of Eligibility | Change Notice | pdf | 16 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 16-08, Community Alternative Program (CAP) Medicaid Eligibility | Change Notice | pdf | 21 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 16-08, Recipient Fraud And Abuse Policy And Procedures | Change Notice | pdf | 32 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 16-09, Medicaid Identification Card | Change Notice | pdf | 38 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 16-10, Change # 2 In A Series Of Corrections, Additions, Deletions And/Or Updates | Change Notice | pdf | 29 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 16-10, Community Care Of North Carolina/Carolina Access New Codes | Change Notice | pdf | 22 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 16-11, Medicaid Covered Services | Change Notice | pdf | 28 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 16-11, NCHC Transition | Change Notice | pdf | 28 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 16-12, NEMT Policy Adjustments | Change Notice | pdf | 21 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 16-23, Medically Needy Recertification | Change Notice | pdf | 371 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 17-02, PRTF Changes | Change Notice | pdf | 30 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 17-03, Third Party Recovery | Change Notice | pdf | 19 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 17-04, FRR | Change Notice | pdf | 10 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 17-04, FRR | Change Notice | pdf | 10 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 17-05, Covered Services Update | Change Notice | pdf | 24 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 17-06, Medicaid Family Planning Waiver | Change Notice | pdf | 20 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 17-06, SSI Medicaid | Change Notice | pdf | 18 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 17-07, DRA Transfer Of Assets | Change Notice | pdf | 102 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 17-07, Medicaid Covered Services | Change Notice | pdf | 28 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 17-08, Community Spouse Income Allowance | Change Notice | pdf | 24 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 17-08, Health Coverage For Workers With Disabilities | Change Notice | pdf | 31 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 17-09, HCWD Phase II | Change Notice | pdf | 26 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 17-10, DSH And FQHC Locations | Change Notice | pdf | 30 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 17-10, Estate Recovery | Change Notice | pdf | 24 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 17-11, Authorized Representative | Change Notice | pdf | 33 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 17-11, Series # 5 Of Corrections, Additions, Deletions And/Or Updates, & Figures/Attachments Removal | Change Notice | pdf | 193 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 17-12, Veteran Benefit Verification | Change Notice | pdf | 24 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 17-19, Community Alternatives Program (CAP) | Change Notice | pdf | 185 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 17-23, MAGI Recertification | Change Notice | pdf | 363 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 18-02, SSI Terminations | Change Notice | pdf | 19 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 18-03, State Residence | Change Notice | pdf | 19 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 18-04, State Residence | Change Notice | pdf | 17 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 18-04, State Residence | Change Notice | pdf | 17 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 18-05, Medicaid Family Planning Waiver | Change Notice | pdf | 35 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 18-06, Covered Services | Change Notice | pdf | 24 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 18-07, Community Care Of North Carolina/Carolina Access | Change Notice | pdf | 22 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 18-07, Resources | Change Notice | pdf | 67 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 18-08, Disability | Change Notice | pdf | 22 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 18-08, Reimbursement For Transportation To Mental Health/Substance Abuse Services | Change Notice | pdf | 19 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 18-09, Life Expectancy Table | Change Notice | pdf | 18 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 18-10, For Standard Utility Allowance And HIPP | Change Notice | pdf | 20 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 18-11, Alien Emergency Service Reviews And Pregnancy Home Updates | Change Notice | pdf | 24 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 18-11, Authorized Representative | Change Notice | pdf | 32 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 19-03, Citizenship/Alien Requirements And Sponsor Deeming | Change Notice | pdf | 46 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 19-03, Poverty Level Income Limits | Change Notice | pdf | 88 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 19-04, Reopening Emergency Applications | Change Notice | pdf | 18 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 19-04, Reopening Emergency Applications | Change Notice | pdf | 18 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 19-05, Medicaid Identification Card | Change Notice | pdf | 22 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 19-05, Medicaid Transportation | Change Notice | pdf | 18 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 19-06, Citizenship & Identity | Change Notice | pdf | 75 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 19-06, Enumeration Procedures | Change Notice | pdf | 30 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 19-07, Citizen/Alien Requirements | Change Notice | pdf | 30 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 19-07, Expanded Foster Care Program Clarification | Change Notice | pdf | 25 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 19-08, Iraqi/Afghan Special Immigrants And The Carolinas Center For Medical Excellence (CCME) Procedures For Alien Emergency Medical Record Review | Change Notice | pdf | 28 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 19-09, Transfer Of Assets | Change Notice | pdf | 17 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 19-10, Third Party Resources | Change Notice | pdf | 39 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 19-10, Transfer Of Assets | Change Notice | pdf | 19 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 19-11, Alien Emergency Service Reviews And Pregnancy Medical Home Updates | Change Notice | pdf | 21 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 19-11, Community Care Of North Carolina/Carolina Access | Change Notice | pdf | 30 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 19-12, Acceptance Of Fax Applications | Change Notice | pdf | 19 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 20-03, Caretaker Relative | Change Notice | pdf | 16 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 20-03, Revised DMA-5028, Authorization To Disclose Information | Change Notice | pdf | 69 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 20-05, Covered Services Update | Change Notice | pdf | 24 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 20-05, Medicaid Family Planning Waiver Changes | Change Notice | pdf | 44 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 20-06, Health Check/Health Choice Re-Enrollment Application | Change Notice | pdf | 30 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 20-06, Medicaid Identificaton Card | Change Notice | pdf | 18 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 20-07, Long Term Care Need And Budgeting | Change Notice | pdf | 69 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 20-08, CCNC/CA | Change Notice | pdf | 27 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 20-10, Change # 2 In A Series Of Corrections, Additions, Deletions And/Or Updates | Change Notice | pdf | 31 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 20-11, Community Care Of North Carolina/Carolina Access | Change Notice | pdf | 30 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 21-03, Definitions | Change Notice | pdf | 16 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 21-03, Third Party Recovery | Change Notice | pdf | 68 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 21-05, Medicare Part D Low Income Subsidy | Change Notice | pdf | 33 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 21-06, Medicare Prescription Drug Benefit | Change Notice | pdf | 33 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 22-03, Transfer Of Resources Tracking | Change Notice | pdf | 76 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 22-05, Medicaid Family Planning Waiver | Change Notice | pdf | 28 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 22-05, Notice On The Use Of Social Security Numbers, Disproportionate Share Hospital (DSH) And Federally Qualified Health Centers (FQHC), Adult Mail-In Application, And Early And Periodic Screening, Diagnosis, And Treatment (EPSDT) And Health Check | Change Notice | pdf | 29 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 22-06, Medicaid Transportation | Change Notice | pdf | 35 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 22-07, Income | Change Notice | pdf | 58 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 22-08, Financial Resources | Change Notice | pdf | 14 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 22-10, DSH And FQHC Locations | Change Notice | pdf | 30 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 23-03, State Residence | Change Notice | pdf | 67 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 23-05, Medicaid Transportation | Change Notice | pdf | 18 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 23-05, SSI Medicaid | Change Notice | pdf | 29 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 23-06, Covered Services | Change Notice | pdf | 24 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 23-07, Expanded Foster Care Program | Change Notice | pdf | 13 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 23-08, Community Alternative Program (CAP) Medicaid Eligibility | Change Notice | pdf | 25 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 24-05, Mail-In Application Sign For DSS Lobby | Change Notice | pdf | 16 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 24-05, Medicaid Family Planning Waiver Changes | Change Notice | pdf | 32 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 24-06, Enumeration Procedures | Change Notice | pdf | 26 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 24-07, DRA Transfer Of Assets | Change Notice | pdf | 66 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 24-08, Health Coverage For Workers With Disabilities | Change Notice | pdf | 62 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 24-10, Third Party Resources | Change Notice | pdf | 36 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 25-05, Initial Contact | Change Notice | pdf | 17 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 25-05, NC Health Choice | Change Notice | pdf | 17 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 25-07, DRA Transfer Of Assets | Change Notice | pdf | 109 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 25-08, Reimbursement For Transportation To Mental Health/Substance Abuse Services | Change Notice | pdf | 17 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 25-10, CAP/Choice | Change Notice | pdf | 18 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 26-05, EPSDT Information | Change Notice | pdf | 19 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 26-05, Notice On The Use Of Social Security Numbers, Disproportionate Share Hospital And Federally Qualified Health Centers, Adult Mail-In Application | Change Notice | pdf | 29 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 26-07, Financial Resources Technical Corrections | Change Notice | pdf | 24 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 26-10, Home Equity Value | Change Notice | pdf | 21 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 27-05, CAP-MR/DD Determination Process Changes | Change Notice | pdf | 16 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 27-05, SSI Medicaid | Change Notice | pdf | 24 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 28-05, SSI Medicaid – County DSS Responsibility | Change Notice | pdf | 37 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 29-05, SSI Medicaid – Automated Process | Change Notice | pdf | 31 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 30-05, Mail-In Application Sign For DSS Lobby | Change Notice | pdf | 18 KB | | adult-medicaid health-benefits-nc-medicaid | change-notice |
| CHANGE NOTICE FOR MANUAL NO. 31-05, EPSDT Information | Change Notice | pdf | 16 KB | | 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) | Administrative Letter | pdf | 112 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 01-19, Extension of Eligibility at Recertification | Administrative Letter | pdf | 202 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 01-20, Attachment 1 – DHB Self Attestation – Obsolete | Administrative Letter | pdf | 222 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 01-20, Attachment 2 – ZixMail Instructions for State Appeals – Obsolete | Administrative Letter | pdf | 411 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 01-20, Medicaid/NCHC Procedures for COVID-19 – Obsolete | Administrative Letter | pdf | 377 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 01-20, Medicaid/NCHC Procedures for COVID-19, Addendum 1 – Obsolete | Administrative Letter | pdf | 333 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 01-21, Social Security and VA Cost-of-Living Adjustment (Amended) | Administrative Letter | pdf | 301 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 01-22, Emergency Rental Assistance (ERA) | Administrative Letter | pdf | 378 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 01-23, Changes in Income During Base Period for Modified Adjusted Gross Income (MAGI) Applications and Recertifications | Administrative Letter | pdf | 389 KB | | 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 | Administrative Letter | pdf | 402 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 02-20, Child Support Guidance Eligibility Verification | Administrative Letter | pdf | 134 KB | | 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 | Administrative Letter | pdf | 228 KB | | 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 | Administrative Letter | pdf | 530 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 02-23, Medicaid Procedures for COVID-19 – Change to Dually Eligible Procedures | Administrative Letter | pdf | 250 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 03-19, Hawkins V. Cohen Procedure – Obsolete | Administrative Letter | pdf | 272 KB | | 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 | Administrative Letter | pdf | 452 KB | | 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 | Administrative Letter | pdf | 449 KB | | 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 | Administrative Letter | pdf | 441 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 03-22, Hearings and Appeals – Remote Hearings | Administrative Letter | pdf | 194 KB | | 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 | Administrative Letter | pdf | 734 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 04-19, Medicaid Verification Reports | Administrative Letter | pdf | 68 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 04-20, 2020 Spousal Impoverishment Standards | Administrative Letter | pdf | 275 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 04-21, 2021 Spousal Impoverishment Standards | Administrative Letter | pdf | 276 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 04-22, Automated Notices, DSS-8109 Form | Administrative Letter | pdf | 458 KB | | 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 | Administrative Letter | pdf | 347 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 05-19, Spousal Impoverishment Standards | Administrative Letter | pdf | 17 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 05-20, Medicaid/NC Health Choice Recertification Procedures for COVID-19 – Obsolete | Administrative Letter | pdf | 555 KB | | 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 | Administrative Letter | pdf | 271 KB | | 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 | Administrative Letter | pdf | 625 KB | | 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 | Administrative Letter | pdf | 624 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 05-22, Spousal Impoverishment Standards | Administrative Letter | pdf | 140 KB | | 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 | Administrative Letter | pdf | 269 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 06-19, ADDENDUM 1, Medicaid Procedures for Hurricane Dorian | Administrative Letter | pdf | 228 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 06-19, ADDENDUM 1, Medicaid Procedures for Hurricane Dorian – Obsolete | Administrative Letter | pdf | 228 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 06-20, Attachment – DHB Self-Attestation | Administrative Letter | pdf | 240 KB | | 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 | Administrative Letter | pdf | 348 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 06-21, AMENDED, Medicaid Procedures for COVID-19 – Increasing PMLS (Amended) OBSOLETE | Administrative Letter | pdf | 465 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 06-21, Medicaid Procedures for COVID-19 – Increasing PMLS OBSOLETE | Administrative Letter | pdf | 466 KB | | 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 | Administrative Letter | pdf | 468 KB | | 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 | Administrative Letter | pdf | 567 KB | | 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 | Administrative Letter | pdf | 537 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 06-23, DHB -DSS 8110 DESK REFERENCE TOOL | Administrative Letter | pdf | 681 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 06-23, Self-Attestation Attachment | Administrative Letter | pdf | 346 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 06-23, Self-Attestation Attachment | Administrative Letter | pdf | 346 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 07-20, Attachment – ZixMail Instructions for State Appeals | Administrative Letter | pdf | 428 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 07-20, Medicaid/NCHC Procedures for COVID-19 – Amended 2 ? OBSOLETE | Administrative Letter | pdf | 309 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 07-20, Medicaid/NCHC Procedures for COVID-19 – Amended Obsolete | Administrative Letter | pdf | 333 KB | | 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 | Administrative Letter | pdf | 679 KB | | 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 | Administrative Letter | pdf | 675 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 07-21, Attachment: NC FAST Batch Exclusion Template | Administrative Letter | xlsx | 16 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 07-21, Medicaid/NC Health Choice Recertification Procedures for COVID-19 Obsolete | Administrative Letter | pdf | 603 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 07-22, Ukrainian Immigrants and Parolees – Amended 2 OBSOLETE | Administrative Letter | pdf | 242 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 07-22, Ukrainian Immigrants and Parolees – Amended 3 | Administrative Letter | pdf | 500 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 07-22, Ukrainian Immigrants and Parolees OBSOLETE | Administrative Letter | pdf | 376 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 07-22, Ukrainian Immigrants and Parolees- Amended OBSOLETE | Administrative Letter | pdf | 478 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 07-23, Medicaid for COVID-19 Testing Group – Applications | Administrative Letter | pdf | 344 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 08-20, Procedures for MAGI Deductions | Administrative Letter | pdf | 244 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 08-21, Afghan Special Immigrants and Parolees | Administrative Letter | pdf | 381 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 08-22, Application Procedures for Authorized Representatives and Complete/Incomplete Applications – Amended | Administrative Letter | pdf | 715 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 08-22, Application Procedures for Authorized Representatives and Complete/Incomplete Applications OBSOLETE | Administrative Letter | pdf | 563 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 08-23, 2023 Spousal Impoverishment | Administrative Letter | pdf | 144 KB | | 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 | Administrative Letter | pdf | 617 KB | | 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 | Administrative Letter | pdf | 384 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 09-20, Medicaid/NC Health Choice Recertification Procedures for COVID-19 – Obsolete | Administrative Letter | pdf | 532 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 09-21, Deferred Enforced Departure for Hong Kong Residents | Administrative Letter | pdf | 263 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 09-22, Modified Adjusted Gross Income (MAGI) Recertification Procedures and Voice Signature | Administrative Letter | pdf | 457 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 09-23, Retroactive and Ongoing Dually Eligible Applicants/Beneficiaries – Medical Expenses | Administrative Letter | pdf | 472 KB | | 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 | Administrative Letter | pdf | 343 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 10-21, Social Security and VA Cost-of-Living Adjustment | Administrative Letter | pdf | 280 KB | | 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 | Administrative Letter | pdf | 137 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 10-23, Health Coverage for Workers with Disabilities – Updated Procedures | Administrative Letter | pdf | 491 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 11-20, Medicaid COVID-19 Optional Testing Group – OBSOLETE | Administrative Letter | pdf | 291 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 11-22, 2023 Social Security And VA Cost-Of-Living Adjustment (COLA) | Administrative Letter | pdf | 254 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 11-23, Request for NC Innovations Waiver Action Indicator Action Needed | Administrative Letter | pdf | 309 KB | | 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 | Administrative Letter | pdf | 243 KB | | 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 | Administrative Letter | pdf | 180 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO: 12-23, Medicaid Procedures for Requesting Corrections – DSS Support Unit | Administrative Letter | pdf | 567 KB | | 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 | Administrative Letter | pdf | 314 KB | | 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) | Administrative Letter | pdf | 220 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 01-20, ADDENDUM 1, Medicaid/NCHC Procedures for COVID-19 – Obsolete | Administrative Letter | pdf | 357 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 01-20, Attachment 1 -DHB Self Attestation – Obsolete | Administrative Letter | pdf | 222 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 01-20, Attachment 2 – ZixMail Instructions for State Appeals – Obsolete | Administrative Letter | pdf | 411 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 01-20, Medicaid/NCHC Procedures for COVID-19 – Obsolete | Administrative Letter | pdf | 377 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 01-21, AMENDED, Social Security and VA Cost-of-Living Adjustment | Administrative Letter | pdf | 301 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 01-22, Emergency Rental Assistance (ERA) | Administrative Letter | pdf | 378 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 01-23, Changes in Income During Base Period for Modified Adjusted Gross Income (MAGI) Applications and Recertifications | Administrative Letter | pdf | 389 KB | | family-and-childrens-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 | Administrative Letter | pdf | 402 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 02-20, Child Support Guidance Eligibility Verification | Administrative Letter | pdf | 134 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 02-22, Application Procedures – Authorized Representatives; Social Security Numbers; DMA-5001 Form Obsolete – OBSOLETE | Administrative Letter | pdf | 530 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 02-23, Medicaid Procedures for COVID-19 – Change to Dually Eligible Procedures | Administrative Letter | pdf | 250 KB | | family-and-childrens-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 | Administrative Letter | pdf | 452 KB | | family-and-childrens-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 | Administrative Letter | pdf | 449 KB | | family-and-childrens-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 | Administrative Letter | pdf | 441 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 03-22, Hearings and Appeals – Remote Hearings | Administrative Letter | pdf | 194 KB | | family-and-childrens-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 | Administrative Letter | pdf | 734 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 04-20, 2020 Spousal Impoverishment | Administrative Letter | pdf | 275 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 04-21, 2021 Spousal Impoverishment Standards | Administrative Letter | pdf | 276 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 04-22, Automated Notices, DSS-8109 Form | Administrative Letter | pdf | 458 KB | | family-and-childrens-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 | Administrative Letter | pdf | 347 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 05-20, Medicaid/NC Health Choice Recertification Procedures for COVID-19 – Obsolete | Administrative Letter | pdf | 555 KB | | family-and-childrens-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 – Obsolete | Administrative Letter | pdf | 625 KB | | 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 | Administrative Letter | pdf | 271 KB | | 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 | Administrative Letter | pdf | 624 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 05-22, 2022 Spousal Impoverishment Standards | Administrative Letter | pdf | 140 KB | | family-and-childrens-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 | Administrative Letter | pdf | 269 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 06-20, Medicaid/NC Health Choice Procedures for COVID-19 , Self-Attestation and Reports – OBSOLETE | Administrative Letter | pdf | 348 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 06-21, AMENDED, Medicaid Procedures for COVID-19 – Increasing PMLS (Amended) OBSOLETE | Administrative Letter | pdf | 465 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 06-23, AMENDED 2, Continuous Coverage Unwinding (CCU) Period After COVID-19 Public Health Emergency (PHE): Medicaid Procedures | Administrative Letter | pdf | 468 KB | | 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 | Administrative Letter | pdf | 567 KB | | 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 | Administrative Letter | pdf | 279 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 06-23, DHB-DSS 8110 DESK REFERENCE TOOL | Administrative Letter | pdf | 681 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 06-23, Self-Attestation Attachment | Administrative Letter | pdf | 346 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 06-23, Self-Attestation Attachment | Administrative Letter | pdf | 346 KB | | 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 | Administrative Letter | pdf | 333 KB | | 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 | Administrative Letter | pdf | 309 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 07-20, Attachment – ZixMail Instructions for State Appeals | Administrative Letter | pdf | 428 KB | | family-and-childrens-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 | Administrative Letter | pdf | 679 KB | | 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 | Administrative Letter | pdf | 675 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 07-21, Attachment: NC FAST COVID Batch Exclusion Template | Administrative Letter | xlsx | 16 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 07-21, Medicaid Procedures for COVID-19 – Increasing PMLS OBSOLETE | Administrative Letter | pdf | 466 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 07-21, Medicaid/NC Health Choice Recertification Procedures for COVID-19 Obsolete | Administrative Letter | pdf | 603 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 07-22, AMENDED 2, Ukrainian Immigrants and Parolees – OBSOLETE | Administrative Letter | pdf | 242 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 07-22, AMENDED 3, Ukrainian Immigrants and Parolees | Administrative Letter | pdf | 500 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 07-22, AMENDED, Ukrainian Immigrants and Parolees – OBSOLETE | Administrative Letter | pdf | 478 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 07-22, Ukrainian Immigrants and Parolee – OBSOLETE | Administrative Letter | pdf | 376 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 07-23, Medicaid for COVID-19 Testing Group – Applications | Administrative Letter | pdf | 344 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 08-20, Procedures for MAGI Deductions | Administrative Letter | pdf | 244 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 08-21, Afghan Special Immigrants and Parolees | Administrative Letter | pdf | 381 KB | | 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 | Administrative Letter | pdf | 715 KB | | 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 | Administrative Letter | pdf | 563 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 08-23, 2023 Spousal Impoverishment | Administrative Letter | pdf | 144 KB | | 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 | Administrative Letter | pdf | 384 KB | | 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 | Administrative Letter | pdf | 617 KB | | 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 | Administrative Letter | pdf | 532 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 09-21, Deferred Enforced Departure for Hong Kong Residents | Administrative Letter | pdf | 263 KB | | 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 | Administrative Letter | pdf | 457 KB | | 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 | Administrative Letter | pdf | 472 KB | | 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 | Administrative Letter | pdf | 343 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 10-21, Social Security and VA Cost-of-Living Adjustment | Administrative Letter | pdf | 280 KB | | 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 | Administrative Letter | pdf | 137 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 10-23, Health Coverage for Workers with Disabilities – Updated Procedures | Administrative Letter | pdf | 491 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 11-20, Medicaid COVID-19 Optional Testing Group – OBSOLETE | Administrative Letter | pdf | 291 KB | | 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) | Administrative Letter | pdf | 254 KB | | 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 | Administrative Letter | pdf | 309 KB | | 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 | Administrative Letter | pdf | 243 KB | | 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 | Administrative Letter | pdf | 180 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB ADMINISTRATIVE LETTER NO. 12-23, Medicaid Procedures for Requesting Corrections – DSS Support Unit | Administrative Letter | pdf | 567 KB | | 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 | Administrative Letter | pdf | 314 KB | | 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) | Administrative Letter | pdf | 220 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DHB-1061 Checklist for Child Medical Evaluation (CME) Reporting | Form | pdf | 291 KB | | health-benefits-nc-medicaid | form |
| DHB-2039 PHP Notification of Nursing Facility Level of Care | Form | pdf | 239 KB | | health-benefits-nc-medicaid | form |
| DHB-2040 Tribal and Indian Health Services | Form | pdf | 155 KB | | health-benefits-nc-medicaid | form |
| DHB-2040B Tribal and Indian Health Services | Form | pdf | 189 KB | | health-benefits-nc-medicaid | form |
| DHB-2043 Third Party Recovery Accident Information Form | Form | pdf | 797 KB | | health-benefits-nc-medicaid | form |
| DHB-2044ia Medicaid Credit Balance Report | Form | pdf | 189 KB | | health-benefits-nc-medicaid | form |
| DHB-2045 Instructions for Completing Medicaid Credit Balance Report | Form | pdf | 141 KB | | health-benefits-nc-medicaid | form |
| DHB-2050 Voluntary Request to Terminate Medicaid | Form | pdf | 114 KB | | health-benefits-nc-medicaid | form |
| DHB-2055 Reimbursement for Medical Transportation | Form | xls | 34 KB | | health-benefits-nc-medicaid | form |
| DHB-2056 Purchased Medical Transportation Costs | Form | xls | 83 KB | | health-benefits-nc-medicaid | form |
| DHB-2190 Internal Inspection Report | Form | pdf | 483 KB | | health-benefits-nc-medicaid | form |
| DHB-2191 Designation of Control Officer for FRR/Beer Reports | Form | pdf | 217 KB | | health-benefits-nc-medicaid | form |
| DHB-2192 SSA Training Form – County Staff and County Contract Staff | Form | pdf | 95 KB | | health-benefits-nc-medicaid | form |
| DHB-2193 Memorandum of CAP Waiver Enrollment | Form | pdf | 253 KB | | health-benefits-nc-medicaid | form |
| DHB-2194 IRC Rules Handout | Form | pdf | 139 KB | | health-benefits-nc-medicaid | form |
| DHB-2195 Documentation of Annual Security Training Confidentiality Form – County Staff | Form | pdf | 102 KB | | health-benefits-nc-medicaid | form |
| DHB-2196 Documentation of Annual Security Training – Shred Contractor Training | Form | pdf | 103 KB | | health-benefits-nc-medicaid | form |
| DHB-2197 FTI Record Keeping Log | Form | xls | 30 KB | | health-benefits-nc-medicaid | form |
| DHB-2198 Log for Destruction of the FRR/BEER Reports | Form | pdf | 80 KB | | health-benefits-nc-medicaid | form |
| DHB-2199 Documentation of the Visitation Logs | Form | pdf | 45 KB | | health-benefits-nc-medicaid | form |
| DHB-2200 Access Control Log | Form | pdf | 45 KB | | health-benefits-nc-medicaid | form |
| DHB-2201 Confidentiality of Safeguard Data | Form | pdf | 140 KB | | health-benefits-nc-medicaid | form |
| DHB-2202 Beneficiary Notice | Form | pdf | 79 KB | | health-benefits-nc-medicaid | form |
| DHB-3051-ia Form and Instructions – Request for Independent Assessment for Personal Care Services – Attestation of Medical Need | Form | pdf | 494 KB | | health-benefits-nc-medicaid | form |
| DHB-4037 Disability Determination Transmittal | Form | pdf | 165 KB | | health-benefits-nc-medicaid | form |
| DHB-5001N Notice on the Use of Social Security Numbers | Form | pdf | 107 KB | | health-benefits-nc-medicaid | form |
| DHB-5001N_sp AVISO SOBRE EL USO DE LOS N√öMEROS DE SEGURO SOCIAL | Form | pdf | 186 KB | | health-benefits-nc-medicaid | form |
| DHB-5002 Important Notice About Your Medicaid or Special Assistance Approval | Form | pdf | 768 KB | | health-benefits-nc-medicaid | form |
| DHB-5002sp-ia Lea Este Importante Aviso Sobre Medicail o la Asistencia Especial Aviso de Aprobacion | Form | pdf | 284 KB | | health-benefits-nc-medicaid | form |
| DHB-5003 Medicaid Approval Notice | Form | pdf | 349 KB | | health-benefits-nc-medicaid | form |
| DHB-5003sp-ia LEA ESTE IMPORTANTE AVISO SOBRE MEDICAID AVISO DE APROBACION | Form | pdf | 265 KB | | health-benefits-nc-medicaid | form |
| DHB-5004-ia Buy-In Clerical Action | Form | pdf | 201 KB | | health-benefits-nc-medicaid | form |
| DHB-5008a Adult Budget Sheet | Form | pdf | 186 KB | | health-benefits-nc-medicaid | form |
| DHB-5008B Supplement B | Form | pdf | 118 KB | | health-benefits-nc-medicaid | form |
| DHB-5008c-ia Spouse and Dependent Income Allowance Worksheet | Form | pdf | 62 KB | | health-benefits-nc-medicaid | form |
| DHB-5008e ABD Medicaid Parent To Child Deeming Budgeting Sheet | Form | pdf | 221 KB | | health-benefits-nc-medicaid | form |
| DHB-5009 Social History Summary For The Disabled | Form | pdf | 146 KB | | health-benefits-nc-medicaid | form |
| DHB-5016-ia Notification of Eligibility for Medicaid/Amount and Effective Date of Patient’s Liability | Form | pdf | 140 KB | | health-benefits-nc-medicaid | form |
| DHB-5024 Transportation Assessment Notification | Form | pdf | 139 KB | | health-benefits-nc-medicaid | form |
| DHB-5024sp Aviso de Evaluación de Transporte | Form | pdf | 103 KB | | health-benefits-nc-medicaid | form |
| DHB-5026 Notice Of Obligation To Apply For Veteran’s Benefits | Form | pdf | 105 KB | | health-benefits-nc-medicaid | form |
| DHB-5027 Veteran’s Benefits Verification Letter | Form | pdf | 141 KB | | health-benefits-nc-medicaid | form |
| DHB-5028-ia Authorization to Disclose Information | Form | pdf | 259 KB | | health-benefits-nc-medicaid | form |
| DHB-5036 Record Of Medical Expenses Applied To The Deductible | Form | pdf | 218 KB | | health-benefits-nc-medicaid | form |
| DHB-5043 Verification Form For Self-Employment Income and Expenses | Form | pdf | 143 KB | | health-benefits-nc-medicaid | form |
| DHB-5043-ia Verification Form For Self-Employment Income and Expenses | Form | pdf | 79 KB | | health-benefits-nc-medicaid | form |
| DHB-5046 Notice of Rights/Responsibilities – Medical Transportation Assistance (English & Spanish) | Form | pdf | 141 KB | | health-benefits-nc-medicaid | form |
| DHB-5047 Medicaid Transportation Assessment | Form | pdf | 323 KB | | health-benefits-nc-medicaid | form |
| DHB-5048 Medicaid Transportation Exception Verification | Form | pdf | 326 KB | | health-benefits-nc-medicaid | form |
| DHB-5051 Estate Subject To Medicaid Recovery: Individuals Under Age 55 | Form | pdf | 238 KB | | health-benefits-nc-medicaid | form |
| DHB-5051sp Notice of Medicaid Recovery – People Under 55 (Spanish) | Form | pdf | 238 KB | | health-benefits-nc-medicaid | form |
| DHB-5052 NOTICE: YOUR ESTATE IS SUBJECT TO MEDICAID RECOVERY | Form | pdf | 245 KB | | health-benefits-nc-medicaid | form |
| DHB-5052 sp AVISO IMPORTANTE SU PATRIMONIO ESTÁ SUJETO A RECUPERACIÓN DE MEDICAID | Form | pdf | 251 KB | | health-benefits-nc-medicaid | form |
| DHB-5052sa State/County Special Assistance Beneficiary Estate Subject to Medicaid Recovery Notice | Form | pdf | 150 KB | | 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 | Form | pdf | 207 KB | | health-benefits-nc-medicaid | form |
| DHB-5053 Estate Recovery – Permanently Institutionalized | Form | pdf | 151 KB | | health-benefits-nc-medicaid | form |
| DHB-5053sp SU PATRIMONIO ESTÁ SUJETO A RECUPERACIÓN DE MEDICAID | Form | pdf | 146 KB | | health-benefits-nc-medicaid | form |
| DHB-5054 Estate Recovery – Claim Notice | Form | pdf | 165 KB | | health-benefits-nc-medicaid | form |
| DHB-5054sp – Estate Recovery – Claim Notice (Spanish) | Form | pdf | 139 KB | | health-benefits-nc-medicaid | form |
| DHB-5056 Estate Recovery Information Form | Form | pdf | 117 KB | | health-benefits-nc-medicaid | form |
| DHB-5076 Pregnancy Management Program | Form | pdf | 76 KB | | health-benefits-nc-medicaid | form |
| DHB-5076 Pregnancy Management Program -Spanish Version | Form | pdf | 82 KB | | health-benefits-nc-medicaid | form |
| DHB-5078 Medicaid Transportation Monitoring Report | Form | pdf | 123 KB | | health-benefits-nc-medicaid | form |
| DHB-5079 Breast and Cervical Cancer Medicaid Application | Form | pdf | 393 KB | | health-benefits-nc-medicaid | form |
| dhb-5079sp Solicitud de Medicaid para c√°ncer de seno y de cuello uterino | Form | pdf | 404 KB | | health-benefits-nc-medicaid | form |
| dhb-5081-ia Breast and Cervical Cancer Verification: Screening, Diagnosis and Treatment | Form | pdf | 145 KB | | health-benefits-nc-medicaid | form |
| dhb-5081r-ia Breast and Cervical Cancer Recertification: Screening, Diagnosis and Treatment | Form | pdf | 63 KB | | 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 | Form | pdf | 103 KB | | health-benefits-nc-medicaid | form |
| dhb-5081sp-ia Verificacion De Evaluacion, Diagnostico Y Tratamiento | Form | pdf | 159 KB | | health-benefits-nc-medicaid | form |
| dhb-5082 Transitional Benefit Report | Form | pdf | 185 KB | | health-benefits-nc-medicaid | form |
| dhb-5083 Notice of Transitional Benefits | Form | pdf | 199 KB | | health-benefits-nc-medicaid | form |
| dhb-5083sp Aviso De Beneficios Transitorios | Form | pdf | 206 KB | | health-benefits-nc-medicaid | form |
| dhb-5084 Transitional Benefits Good Cause | Form | pdf | 149 KB | | health-benefits-nc-medicaid | form |
| dhb-5084sp Motivos Justificados Para No Haber Entregado A Tiempo Su Informe De Beneficios Transitorios | Form | pdf | 136 KB | | health-benefits-nc-medicaid | form |
| dhb-5087-ia Check List For Breast and Cervical Cancer Medicaid | Form | pdf | 192 KB | | health-benefits-nc-medicaid | form |
| dhb-5087-sp Check List For Breast and Cervical Cancer Medicaid | Form | pdf | 91 KB | | health-benefits-nc-medicaid | form |
| DHB-5097 Request for Information | Form | pdf | 221 KB | | health-benefits-nc-medicaid | form |
| DHB-5097sp-ia Solicitud de información | Form | pdf | 186 KB | | health-benefits-nc-medicaid | form |
| DHB-5098-ia Your Application for Medicaid is Pending | Form | pdf | 21 KB | | health-benefits-nc-medicaid | form |
| DHB-5104 Notice of Incomplete Application | Form | pdf | 114 KB | | health-benefits-nc-medicaid | form |
| DHB-5104sp Notificación de Solicitud Incompleta | Form | pdf | 135 KB | | health-benefits-nc-medicaid | form |
| dhb-5106 Medicaid Pace Program Referral | Form | pdf | 280 KB | | health-benefits-nc-medicaid | form |
| DHB-5111 Annuity Verification Form | Form | pdf | 115 KB | | health-benefits-nc-medicaid | form |
| DHB-5113, Notification of Right to Request an Undue Hardship Waiver (Transfer of Assets) | Form | pdf | 133 KB | | health-benefits-nc-medicaid | form |
| DHB-5115 Notification of Right to Request a Demonstrated Hardship Waiver (Home Equity Value) | Form | pdf | 163 KB | | health-benefits-nc-medicaid | form |
| DHB-5118A-ia Medicaid Transportation Verification of Receipt of Covered Service – A | Form | pdf | 36 KB | | health-benefits-nc-medicaid | form |
| DHB-5118B-ia Medicaid Transportation Verification of Receipt of Covered Service- B | Form | pdf | 41 KB | | health-benefits-nc-medicaid | form |
| DHB-5119 Denial of Transportation Request(s) | Form | pdf | 130 KB | | health-benefits-nc-medicaid | form |
| DHB-5119sp Negación de Solicitudes de Transporte | Form | pdf | 129 KB | | health-benefits-nc-medicaid | form |
| dhb-5121 Determining Potential Medicaid Eligibility | Form | pdf | 150 KB | | health-benefits-nc-medicaid | form |
| DHB-5122 Community Spouse Resource Protection Worksheet | Form | pdf | 124 KB | | health-benefits-nc-medicaid | form |
| DHB-5125 Medicaid Transportation No-Show Notice | Form | pdf | 80 KB | | health-benefits-nc-medicaid | form |
| DHB-5125a Medicaid Transportation No-Show Final Notice | Form | pdf | 81 KB | | health-benefits-nc-medicaid | form |
| DHB-5125Asp Aviso final: Usted no usó el transporte de Medicaid | Form | pdf | 173 KB | | health-benefits-nc-medicaid | form |
| DHB-5125B Medicaid Transportation Suspension Notice | Form | pdf | 62 KB | | health-benefits-nc-medicaid | form |
| DHB-5125Bsp Aviso de Suspensión de Transporte de Medicaid | Form | pdf | 122 KB | | health-benefits-nc-medicaid | form |
| DHB-5125sp Aviso: Usted no usó el transporte de Medicaid | Form | pdf | 169 KB | | health-benefits-nc-medicaid | form |
| DHB-5152 North Carolina Residency Declaration | Form | pdf | 129 KB | | health-benefits-nc-medicaid | form |
| DHB-5152sp Declaración de residencia en Carolina del Norte | Form | pdf | 112 KB | | health-benefits-nc-medicaid | form |
| DHB-5161 Transfer of Asset Below Current Market Value | Form | pdf | 125 KB | | health-benefits-nc-medicaid | form |
| DHB-5164 Change to PML Request Memo | Form | pdf | 207 KB | | health-benefits-nc-medicaid | form |
| DHB-5165 PACE Referral Request For A Medicaid Hearing | Form | pdf | 159 KB | | health-benefits-nc-medicaid | form |
| DHB-5166 PACE Application Report | Form | pdf | 180 KB | | health-benefits-nc-medicaid | form |
| DHB-5170 Request for Claims Override | Form | pdf | 242 KB | | health-benefits-nc-medicaid | form |
| dhb-5179 MAABD Eligibility Overview Chart | Form | pdf | 277 KB | | health-benefits-nc-medicaid | form |
| DHB-5181 5181 Calculating Penalty Period – Transfers 11/1/07 or Later | Form | pdf | 110 KB | | health-benefits-nc-medicaid | form |
| DHB-5200-ia Application for Health Coverage & Help Paying Costs | Form | pdf | 916 KB | | health-benefits-nc-medicaid | form |
| DHB-5200sp Solicitud Para Cobertura de Salud y Ayuda Para Pagar los Costos | Form | pdf | 2 MB | | health-benefits-nc-medicaid | form |
| DHB-5201-ia Application for Health Coverage & Help Paying Costs (Short Form) | Form | pdf | 568 KB | | health-benefits-nc-medicaid | form |
| DHB-5202C-ia Designation of Authorized Representative – Appendix C | Form | pdf | 155 KB | | health-benefits-nc-medicaid | form |
| DHB-5202E-ia Medical Bills – Appendix E | Form | pdf | 215 KB | | health-benefits-nc-medicaid | form |
| DHB-5202Esp-ia Apéndice E – Facturas médicas | Form | pdf | 119 KB | | health-benefits-nc-medicaid | form |
| DHB-7058 Investigative Summary | Form | pdf | 1 MB | | health-benefits-nc-medicaid | form |
| dhb-7059 Notice Of Change In Overpayment For Medical Assistance | Form | pdf | 94 KB | | health-benefits-nc-medicaid | form |
| dhb-7060 Voluntarty Repayment Agreement | Form | pdf | 853 KB | | health-benefits-nc-medicaid | form |
| dhb-7061 Voluntary Wage Withholding Agreement | Form | pdf | 173 KB | | health-benefits-nc-medicaid | form |
| dhb-7063 Medicaid/NC Health Choice Recipient Profile Request Sheet Apr 21, 2021 | Form | pdf | 298 KB | | health-benefits-nc-medicaid | form |
| DHB-7078A Application 2nd Party Review Worksheet | Form | pdf | 528 KB | | health-benefits-nc-medicaid | form |
| DHB-7078R Recertification 2nd Party Review Worksheet | Form | pdf | 515 KB | | health-benefits-nc-medicaid | form |
| dhb-7097-ia Recipient Request and Authorization to Disclose Health Information | Form | pdf | 175 KB | | health-benefits-nc-medicaid | form |
| dhb-7098-I DMA-7098 – Additional Information and Instructions Feb 23, 2021 | Form | pdf | 146 KB | | health-benefits-nc-medicaid | form |
| dhb-8010 Notice of Overpayment For Medical Assistance | Form | pdf | 217 KB | | health-benefits-nc-medicaid | form |
| dhb-8010sp Notice of Overpayment For Medical Assistance (Spanish Version) | Form | pdf | 131 KB | | health-benefits-nc-medicaid | form |
| DHB-8020-ia Medicaid Eligibility Corrections Form | Form | pdf | 323 KB | | health-benefits-nc-medicaid | form |
| DMA 9006sp Formulario de inscripción en CCNC/CA | Form | pdf | 133 KB | | health-benefits-nc-medicaid | form |
| DMA ADMINISTRATIVE LETTER 01-09, American Recovery And Reinvestment Act Of 2009 | Administrative Letter | pdf | 18 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER 03-09, (CCNC/CA) | Administrative Letter | pdf | 21 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER 03-09, ADDENDUM 1, (CCNC/CA) | Administrative Letter | pdf | 19 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER 03-09, ADDENDUM 2, (CCNC/CA) | Administrative Letter | pdf | 24 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER 04-09, Medicaid Card Changes | Administrative Letter | pdf | 52 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER 05-09, Computer Based Training | Administrative Letter | pdf | 35 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER 05-09, Computer Based Training | Administrative Letter | pdf | 35 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER 07-09, ADDENDUM 1, Low Income Subsidy (LIS) | Administrative Letter | pdf | 14 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER 07-09, Low Income Subsidy (LIS) | Administrative Letter | pdf | 14 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER 07-09, Low Income Subsidy (LIS) Application For Medicaid | Administrative Letter | pdf | 128 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER 07-09, Low Income Subsidy (LIS) Application For Medicaid | Administrative Letter | pdf | 128 KB | | family-and-childrens-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) | Administrative Letter | pdf | 20 KB | | 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) | Administrative Letter | pdf | 20 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 01-08, Use Of Electronic Signatures | Administrative Letter | pdf | 18 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 01-09, American Recovery And Reinvestment Act Of 2009 | Administrative Letter | pdf | 18 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 01-10, ADDENDUM 1, MQB Budgeting | Administrative Letter | pdf | 97 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 01-10, ADDENDUM 2, MQB Budgeting | Administrative Letter | pdf | 20 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 01-10, MQB Budgeting | Administrative Letter | pdf | 76 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 01-15, Spousal Impoverishment Standards | Administrative Letter | pdf | 184 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 01-17, Achieving A Better Life Experience (Able Act) | Administrative Letter | pdf | 88 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 01-18, Social Security and VA Cost-of-Living Adjustment | Administrative Letter | pdf | 11 MB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 01-18, Social Security And VA Cost-Of-Living Adjustment | Administrative Letter | pdf | 11 MB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 02-05, Administrative Cost Reimbursement – Day Sheet Coding And Reporting On The DSS-1571 | Administrative Letter | pdf | 29 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 02-08, Policy And Procedures For Program Of All-Inclusive Care For The Elderly (Pace) | Administrative Letter | pdf | 27 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 02-11, Federal Poverty Level Change Review For Ongoing MQB-B & E Cases | Administrative Letter | pdf | 17 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 02-12, Referral Of Recipient Fraud To Law Enforcement | Administrative Letter | pdf | 22 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 02-13, DMA Administrative Letter No: 02-13, Federal Poverty Level Change Review For Ongoing MQB-B & E Cases | Administrative Letter | pdf | 17 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 02-15, Title IV-E And Special Needs Adoption Children | Administrative Letter | pdf | 344 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 02-16, 2016 Federal Poverty Level Changes | Administrative Letter | pdf | 215 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 02-18, 2018 Federal Poverty Level (FPL) Changes and Cost of Living (COLA) Disregard | Administrative Letter | pdf | 24 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 02-18, 2018 Federal Poverty Level (FPL) Changes And Cost Of Living Adjustment (COLA) Disregard | Administrative Letter | pdf | 24 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 02-19, The Work Number Procedures | Administrative Letter | pdf | 134 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 03 -09, (CCNC/CA) | Administrative Letter | pdf | 21 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 03-09, ADDENDUM 1, (CCNC/CA) | Administrative Letter | pdf | 19 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 03-09, ADDENDUM 2, (CCNC/CA) | Administrative Letter | pdf | 24 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| 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 | Administrative Letter | pdf | 15 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 03-11, Automated Terminations Of Mic & North Carolina Health Choice Cases | Administrative Letter | pdf | 22 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 03-14, Asset Verification System (AVS) | Administrative Letter | pdf | 100 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 03-16, Spousal Impovershment Standards | Administrative Letter | pdf | 144 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 03-17, Spousal Impoverishment Standards | Administrative Letter | pdf | 100 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 03-18, Hospital Provider Instructions for Determining Presumptive Eligibility | Administrative Letter | pdf | 434 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 03-18, Hospital Provider Instructions For Determining Presumptive Eligibility | Administrative Letter | pdf | 434 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 04-05, Use Of Social Security Numbers | Administrative Letter | pdf | 31 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 04-07, Transportation Audit | Administrative Letter | pdf | 47 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 04-07, Transportation Audit | Administrative Letter | pdf | 47 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 04-09, Medicaid Card Changes | Administrative Letter | pdf | 52 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 04-10, COMMUNITY ALTERNATIVE PROGRAM (CAP), Community Alternative Program (CAP) County Transfers | Administrative Letter | pdf | 24 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 04-12, Nemt Vendor Obligations And Policy Implementation Timeline | Administrative Letter | pdf | 53 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 04-14, Medicaid Recertification | Administrative Letter | pdf | 98 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 04-15, Certification Period | Administrative Letter | pdf | 9 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 04-16, Obsolete Forms | Administrative Letter | pdf | 152 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 05-07, Medicare Buy-In Report | Administrative Letter | pdf | 15 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 05-07, Medicare Buy-In Report | Administrative Letter | pdf | 15 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 05-08, Obsolete & Current Administrative Letters | Administrative Letter | pdf | 37 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 05-11, Citizenship/Identity Retroactive Review Requirements | Administrative Letter | pdf | 61 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 05-15, Social Security And Va Cost-Of-Living Adjustment | Administrative Letter | pdf | 385 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 05-15, Unconverted Medicaid Cases | Administrative Letter | pdf | 51 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 05-18, Spousal Impoverishment Standards | Administrative Letter | pdf | 153 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 06-03, Addendum 1 CBT Course Update | Administrative Letter | pdf | 15 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 06-03, Computer Based Training | Administrative Letter | pdf | 28 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 06-03, Family CBT | Administrative Letter | pdf | 15 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 06-08, 2008 Economic Stimulus Tax Rebate | Administrative Letter | pdf | 19 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 06-08, 2008 Economic Stimulus Tax Rebate | Administrative Letter | pdf | 19 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 06-10, Puerto Rican Issued Birth Certificates | Administrative Letter | pdf | 11 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 06-18, ADDENDUM 2, Medicaid Procedures for Hurricane Florence | Administrative Letter | pdf | 100 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 06-18, ADDENDUM 2, Medicaid Procedures For Hurricane Florence | Administrative Letter | pdf | 100 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 06-18, Emergency Medicaid Procedures for Hurricane Florence Victims | Administrative Letter | pdf | 50 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 06-18, Emergency Medicaid Procedures For Hurricane Florence Victims | Administrative Letter | pdf | 50 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 07-05, Piedmont Cardinal Health Plan (PCHP), 07-05 | Administrative Letter | pdf | 46 KB | | 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 | Administrative Letter | pdf | 62 KB | | 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 | Administrative Letter | pdf | 62 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 07-08, Iraqi And Afghanistan Special Immigrants | Administrative Letter | pdf | 32 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 07-08, Iraqi And Afghanistan Special Immigrants | Administrative Letter | pdf | 32 KB | | family-and-childrens-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 | Administrative Letter | pdf | 134 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 07-14, Eugenics Asexualization And Sterilization Compensation | Administrative Letter | pdf | 122 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 07-16, Addendum 1, Social Security And Va Cost-Of-Living Adjustment | Administrative Letter | pdf | 2 MB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 07-16, Social Security And Va Cost-Of-Living Adjustment | Administrative Letter | pdf | 385 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 07-19, Social Security and VA Cost-Of-Living Adjustment | Administrative Letter | pdf | 379 KB | | 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 | Administrative Letter | pdf | 42 KB | | 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 | Administrative Letter | pdf | 42 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 08-13, ADDENDUM 1, Health Coverage For Workers With Disabilities | Administrative Letter | pdf | 86 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 08-13, Health Coverage For Workers With Disabilities | Administrative Letter | pdf | 53 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 09-05, Life Estate Subject To Estate Recovery, 09-05 | Administrative Letter | pdf | 18 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 09-08, ADDENDUM 1, Medicaid Suspension | Administrative Letter | pdf | 49 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 09-08, ADDENDUM 2, Medicaid Suspension | Administrative Letter | pdf | 19 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 09-08, Medicaid Suspension | Administrative Letter | pdf | 50 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 09-10, Medicare Savings Program Resource Limit Increase | Administrative Letter | pdf | 12 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 09-13, Residency For Adoptive Children Medicaid | Administrative Letter | pdf | 12 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 09-14, 2101 (F) North Carolina Health Choice Children | Administrative Letter | pdf | 154 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 10-08, (CCNC/CA Exemptions) | Administrative Letter | pdf | 46 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 10-12, Verification Of Veterans’ Benefits | Administrative Letter | pdf | 17 KB | | 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 | Administrative Letter | pdf | 14 KB | | 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 | Administrative Letter | pdf | 18 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 11-13, ADDENDUM 3, Hospital Provider Instructions For Determining Presumptive Eligibility | Administrative Letter | pdf | 19 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 11-13, Hospital Provider Instructions For Determining Presumptive Eligibility | Administrative Letter | pdf | 441 KB | | 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 | Administrative Letter | pdf | 93 KB | | 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 | Administrative Letter | pdf | 77 KB | | 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 | Administrative Letter | pdf | 15 KB | | 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 | Administrative Letter | pdf | 15 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 14-03, Certification Period Extension For Qualifying Individuals (QI1) | Administrative Letter | pdf | 14 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 14-03, MQB-E Certification Period Extension To 6/30/2008 | Administrative Letter | pdf | 15 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 14-13, Medicaid To Former Foster Care Children (MFC) | Administrative Letter | pdf | 82 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 15-04, Enrolled Presumptive Eligibility Providers | Administrative Letter | pdf | 55 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 15-13, Certification And Authorization Periods For Applications Taken During Open Enrollment | Administrative Letter | pdf | 14 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 16-13, Affordable Care Act (ACA) Changes To Citizenship And Identity Verification | Administrative Letter | pdf | 95 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 18-13, Addendum 4, Provider Instructions For Presumptive Eligibility For Pregnant Women | Administrative Letter | pdf | 19 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO: 18-13, Provider Instructions For Presumptive Eligibility For Pregnant Women | Administrative Letter | pdf | 187 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 01-08, Use Of Electronic Signatures | Administrative Letter | pdf | 18 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 01-10, ADDENDUM 1, MQB Budgeting | Administrative Letter | pdf | 97 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 01-10, ADDENDUM 2, MQB Budgeting | Administrative Letter | pdf | 20 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 01-10, MQB Budgeting | Administrative Letter | pdf | 76 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 01-11, Self Certification For Life Line Link Up | Administrative Letter | pdf | 19 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 01-14, Affordable Care Act (ACA) Overview Of Medicaid Changes | Administrative Letter | pdf | 90 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 01-15, Spousal Impoverishment Standards | Administrative Letter | pdf | 184 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 01-17, Achieving A Better Life Experience (Able Act) | Administrative Letter | pdf | 24 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 01-19, Extension of Eligibility at Recertification | Administrative Letter | pdf | 202 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 02-05, Administrative Cost Reimbursement – Day Sheet Coding And Reporting On The DSS-1571 | Administrative Letter | pdf | 28 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 02-08, Policy And Procedures For Program Of All-Inclusive Care For The Elderly (Pace) | Administrative Letter | pdf | 27 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 02-09, Update To Life Expectancy Table | Administrative Letter | pdf | 95 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 02-11, Federal Poverty Level Change Review For Ongoing MQB-B & E Cases | Administrative Letter | pdf | 17 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 02-12, Premium Payment Screen | Administrative Letter | pdf | 30 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 02-12, Referral Of Recipient Fraud To Law Enforcement | Administrative Letter | pdf | 22 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 02-13, Federal Poverty Level Change Review For Ongoing MQB-B & E Cases | Administrative Letter | pdf | 17 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 02-15, Title IV-E And Special Needs Adoption Children | Administrative Letter | pdf | 344 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 02-16, Federal Poverty Level Changes | Administrative Letter | pdf | 215 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 02-19, The Work Number Procedures | Administrative Letter | pdf | 134 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| 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) | Administrative Letter | pdf | 25 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| 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) | Administrative Letter | pdf | 25 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| 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) | Administrative Letter | pdf | 15 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 03-11, Automated Terminations Of MIC & North Carolina Health Choice Cases | Administrative Letter | pdf | 22 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 03-14, Asset Verification System (AVS) | Administrative Letter | pdf | 100 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 03-16, Spousal Impoverishment Standards | Administrative Letter | pdf | 144 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 03-17, Spousal Impoverishment Standards | Administrative Letter | pdf | 100 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 03-19, Hawkins V. Cohen Procedures- Obsolete | Administrative Letter | pdf | 272 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 04-05, Use Of Social Security Numbers | Administrative Letter | pdf | 108 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 04-06 ADDENDUM 1, Notice To Clients of Upcoming Citizenship/Identity Requirement | Administrative Letter | pdf | 17 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 04-06, Addendum 1, Notice To Clients of Upcoming Citizenship/Identity Requirement | Administrative Letter | pdf | 98 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 04-06, Outreach To Tell Clients of Upcoming Change | Administrative Letter | pdf | 14 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 04-06, Outreach To Tell Clients of Upcoming Change | Administrative Letter | pdf | 15 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 04-10, Community Alternative Program (CAP) | Administrative Letter | pdf | 24 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 04-11, Community Alternative Program (CAP) | Administrative Letter | pdf | 15 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 04-12, NEMT Vendor Obligations And Policy Implementation Timeline | Administrative Letter | pdf | 53 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 04-14, Medicaid Recertification | Administrative Letter | pdf | 98 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 04-15, Certification Period | Administrative Letter | pdf | 9 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 04-16, Obsolete Forms | Administrative Letter | pdf | 152 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 04-19, Medicaid Verification Reports | Administrative Letter | pdf | 68 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 05-08, Obsolete & Current Administrative Letters | Administrative Letter | pdf | 37 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 05-11, Citizenship/Identity Retroactive Review Requirements | Administrative Letter | pdf | 61 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 05-15, Social Security And VA Cost-Of-Living Adjustment | Administrative Letter | pdf | 385 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 05-19, Spousal Impoverishment Standards | Administrative Letter | pdf | 16 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 06-03, Addendum 1, CBT Course Update | Administrative Letter | pdf | 16 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 06-03, Addendum 2, Family CBT | Administrative Letter | pdf | 15 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 06-03, Computer Based Training | Administrative Letter | pdf | 37 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 06-06, Medicaid/NCHC Inquiries And DMA Contact List | Administrative Letter | pdf | 66 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 06-06, Medicaid/NCHC Inquiries And DMA Contact List | Administrative Letter | pdf | 102 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| 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) | Administrative Letter | pdf | 112 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 06-10, ADDENDUM 1, Puerto Rico Birth Certificates | Administrative Letter | pdf | 19 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 06-10, Puerto Rican Issued Birth Certificates | Administrative Letter | pdf | 11 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 06-11, Social Security And Va Cost-Of-Living Adjustment (COLA) | Administrative Letter | pdf | 166 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 06-11, Social Security And VA Cost-Of-Living Adjustment (COLA) | Administrative Letter | pdf | 166 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 06-15, Unconverted Medicaid Cases | Administrative Letter | pdf | 51 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 06-19, ADDENDUM 1, Medicaid Procedures for Hurricane Dorian | Administrative Letter | pdf | 228 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 06-19,Medicaid Procedures for Hurricane Dorian – Obsolete | Administrative Letter | pdf | 827 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 07-05, Piedmont Cardinal Health Plan (PCHP) | Administrative Letter | pdf | 82 KB | | family-and-childrens-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 | Administrative Letter | pdf | 134 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 07-12, Lifeline/Link-Up | Administrative Letter | pdf | 54 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 07-12, Lifeline/Link-Up | Administrative Letter | pdf | 54 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 07-14, Eugenics Asexualization And Sterilization Compensation | Administrative Letter | pdf | 122 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 07-16, Social Security And VA Cost-Of-Living Adjustment | Administrative Letter | pdf | 385 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 07-19, Social Security and VA Cost-Of-Living Adjustment | Administrative Letter | pdf | 379 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 08-04, EPICS | Administrative Letter | pdf | 28 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 08-04, EPICS | Administrative Letter | pdf | 37 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| 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) | Administrative Letter | pdf | 46 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| 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) | Administrative Letter | pdf | 46 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| 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 | Administrative Letter | pdf | 17 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| 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) | Administrative Letter | pdf | 17 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 08-09, Citizenship Documentation | Administrative Letter | pdf | 76 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| 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) | Administrative Letter | pdf | 28 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| 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) | Administrative Letter | pdf | 28 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 08-09, DAAS ADMINISTRATIVE LETTER NO. 09-24, ECONOMIC AND FAMILY SERVICES EFS_WF_AL-11-2009, Citizenship Documentation | Administrative Letter | pdf | 76 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 08-13, ADDENDUM 1, Health Coverage For Workers With Disabilities | Administrative Letter | pdf | 86 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 08-13, Health Coverage For Workers With Disabilities | Administrative Letter | pdf | 53 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 09-07, Social Security And Va Cost-Of-Living Adjustment (COLA) | Administrative Letter | pdf | 176 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 09-07, Social Security And Va Cost-Of-Living Adjustment (COLA) | Administrative Letter | pdf | 176 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 09-08, ADDENDUM 1, Medicaid Suspension | Administrative Letter | pdf | 49 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 09-08, ADDENDUM 2, Medicaid Suspension | Administrative Letter | pdf | 19 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 09-08, Medicaid Suspension | Administrative Letter | pdf | 50 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 09-12, Social Security And Va Cost-Of-Living Adjustment (COLA) | Administrative Letter | pdf | 143 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 09-12, Social Security And VA Cost-Of-Living Adjustment (COLA) | Administrative Letter | pdf | 143 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 09-13, Residency For Adoptive Children Medicaid | Administrative Letter | pdf | 12 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 09-14, 2101 (F) North Carolina Health Choice Children | Administrative Letter | pdf | 154 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 10-04, ACTS LEIS Profiles And New Screens | Administrative Letter | pdf | 6 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 10-04, AMENDED, ACTS LEIS Profiles And New Screens | Administrative Letter | pdf | 16 KB | | adult-medicaid family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 10-08, (CCNC/CA Exemptions) | Administrative Letter | pdf | 46 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 10-12, Verification Of Veterans’ Benefits | Administrative Letter | pdf | 17 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 10-13, Social Security And Va Cost-Of-Living Adjustment (Cola) | Administrative Letter | pdf | 234 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 10-13, Social Security And VA Cost-Of-Living Adjustment (COLA) | Administrative Letter | pdf | 234 KB | | 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) | Administrative Letter | pdf | 135 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 10-14, Social Security And Va Cost-Of-Living Adjustment (COLA) | Administrative Letter | pdf | 135 KB | | 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 | Administrative Letter | pdf | 14 KB | | 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 | Administrative Letter | pdf | 18 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 11-13, ADDENDUM 3, Hospital Provider Instructions For Determining Presumptive Eligibility | Administrative Letter | pdf | 19 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 11-13, Hospital Provider Instructions For Determining Presumptive Eligibility | Administrative Letter | pdf | 441 KB | | 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) | Administrative Letter | pdf | 170 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 12-08, Social Security And Va Cost-Of-Living Adjustment (COLA) | Administrative Letter | pdf | 170 KB | | 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 | Administrative Letter | pdf | 93 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 13-13, MIC-1 Children Age 6 Through Age 18, 107% – 133% FPL | Administrative Letter | pdf | 77 KB | | 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 | Administrative Letter | pdf | 15 KB | | 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 | Administrative Letter | pdf | 15 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 14-13, Medicaid To Former Foster Care Children (MFC) | Administrative Letter | pdf | 82 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 15-04, Enrolled Presumptive Eligibility Providers | Administrative Letter | pdf | 38 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 15-13, Certification And Authorization Periods For Applications Taken During Open Enrollment | Administrative Letter | pdf | 14 KB | | 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 | Administrative Letter | pdf | 16 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 16-02 Addendum 2, FRR/Beer Security – OBSOLETE | Administrative Letter | pdf | 48 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 16-02 Addendum 3, FRR/Beer Security – OBSOLETE | Administrative Letter | pdf | 5 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 16-02, ADDENDUM 1, FRR/BEER – OBSOLETE | Administrative Letter | pdf | 106 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 16-02, ADDENDUM 2, FRR/BEER Security – OBSOLETE | Administrative Letter | pdf | 28 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 16-02, ADDENDUM 3, FRR/BEER Security – OBSOLETE | Administrative Letter | pdf | 33 KB | | 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 | Administrative Letter | pdf | 41 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 16-02, Work First and Food Stamps – OBSOLETE | Administrative Letter | pdf | 72 KB | | 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 | Administrative Letter | pdf | 95 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 17-06, Medicaid Transportation Revisions | Administrative Letter | pdf | 31 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 17-06, Medicaid Transportation Revisions | Administrative Letter | pdf | 31 KB | | 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 | Administrative Letter | pdf | 22 KB | | 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 | Administrative Letter | pdf | 31 KB | | 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 | Administrative Letter | pdf | 29 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 18-03, New Medicaid Profile Indicator And Follow-Up Case Management Report | Administrative Letter | pdf | 43 KB | | 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 | Administrative Letter | pdf | 50 KB | | 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 | Administrative Letter | pdf | 19 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 18-13, Provider Instructions For Presumptive Eligibility For Pregnant Women | Administrative Letter | pdf | 187 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 24-02, New Validation Process For Epics Referrals | Administrative Letter | pdf | 26 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 24-02, New Validation Process For EPICS Referrals | Administrative Letter | pdf | 36 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINISTRATIVE LETTER NO. 27-01, Subscription To Medicaid Eligibility Manuals | Administrative Letter | pdf | 32 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DMA ADMINSTRATIVE LETTER: NO. 04-18, DAAS ADMINISTRATIVE LETTER NO. 18-03, Systematic Alien Verification For Entitlements (Save) Paperless Verification Processing | Administrative Letter | pdf | 186 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| dma-0100 Physician’s Signature for Authorization of Level of Care | Form | pdf | 89 KB | | health-benefits-nc-medicaid | form |
| dma-1049 Cover Letter for LIS Application for Medicaid | Form | pdf | 12 KB | | health-benefits-nc-medicaid | form |
| dma-1050 Notice of Application for Extra Help with Medicare Prescription Drug Costs | Form | pdf | 13 KB | | health-benefits-nc-medicaid | form |
| dma-1051 LIS Verification Checklist | Form | pdf | 65 KB | | health-benefits-nc-medicaid | form |
| dma-1051-ia LIS Verification Checklist | Form | pdf | 170 KB | | health-benefits-nc-medicaid | form |
| dma-1052 Notice of Approval for Extra Help with Medicaire Prescription Drug Costs | Form | pdf | 28 KB | | health-benefits-nc-medicaid | form |
| dma-1052-ia Notice of Approval for Extra Help with Medicare Prescription Drug Costs | Form | pdf | 76 KB | | health-benefits-nc-medicaid | form |
| dma-1053 Medicare Prescription Drug Subsidy Assistance | Form | pdf | 45 KB | | health-benefits-nc-medicaid | form |
| dma-1053-ia Medicare Prescription Drug Subsidy Assistance | Form | pdf | 45 KB | | health-benefits-nc-medicaid | form |
| dma-1054 Report of Approval/Denial of LIS Application | Form | pdf | 32 KB | | health-benefits-nc-medicaid | form |
| dma-2000a County DSS Request for DMA Forms | Form | pdf | 100 KB | | health-benefits-nc-medicaid | form |
| dma-2000h Health Agencies Request for DMA Forms | Form | pdf | 158 KB | | health-benefits-nc-medicaid | form |
| dma-2000x Order Form for NC Medicaid Consumer Guides | Form | pdf | 82 KB | | health-benefits-nc-medicaid | form |
| dma-2041-ia Third Party Recovery Insurance Information | Form | pdf | 106 KB | | health-benefits-nc-medicaid | form |
| dma-2046 Third Party Liability Medicaid and NC Health Choice Billing Guide | Form | pdf | 484 KB | | health-benefits-nc-medicaid | form |
| dma-2053-ia Insurance Company Code Request Form | Form | pdf | 89 KB | | health-benefits-nc-medicaid | form |
| dma-2057 Health Insurance Information Referral Form | Form | pdf | 5 KB | | health-benefits-nc-medicaid | form |
| dma-2069 Health Insurance Premium Payment Program Application | Form | pdf | 140 KB | | health-benefits-nc-medicaid | form |
| dma-2073 Medicaid Payment Information Request | Form | pdf | 28 KB | | health-benefits-nc-medicaid | form |
| dma-2073-I Instructions for Medicaid Payment Information Request | Form | pdf | 17 KB | | health-benefits-nc-medicaid | form |
| dma-2188 Notice of Privacy Practices | Form | pdf | 137 KB | | health-benefits-nc-medicaid | form |
| dma-2188sp Aviso De Pr√°cticas De Privacidad | Form | pdf | 46 KB | | health-benefits-nc-medicaid | form |
| dma-2190 Report of Internal Inspection FRR/BEER | Form | pdf | 717 KB | | health-benefits-nc-medicaid | form |
| dma-2191 Designation of Control Officer for FRR/BEER | Form | pdf | 656 KB | | health-benefits-nc-medicaid | form |
| dma-2192 Documentation of SSA Security Training | Form | pdf | 680 KB | | health-benefits-nc-medicaid | form |
| dma-3002 Program Care Coordinator Pregnancy Outcome Report | Form | pdf | 112 KB | | health-benefits-nc-medicaid | form |
| dma-3004 Maternity Care Coordination Letter of Agreement | Form | pdf | 31 KB | | health-benefits-nc-medicaid | form |
| dma-3005 Care Coordinator Appointment Record | Form | pdf | 45 KB | | health-benefits-nc-medicaid | form |
| dma-3006 Care Coordination Record | Form | pdf | 165 KB | | health-benefits-nc-medicaid | form |
| dma-3007-ia Family Care Coordination Plan | Form | pdf | 207 KB | | health-benefits-nc-medicaid | form |
| dma-3016 Care Coordination Narrative Sheet | Form | pdf | 44 KB | | health-benefits-nc-medicaid | form |
| dma-3019 Individual Authorization Form | Form | pdf | 47 KB | | health-benefits-nc-medicaid | form |
| dma-3047 Hysterectomy Statement Form | Form | pdf | 139 KB | | health-benefits-nc-medicaid | form |
| dma-3050R Adult Care Home Personal Care Physician | Form | pdf | 407 KB | | health-benefits-nc-medicaid | form |
| dma-3055 Family Planning Waiver New Enrollee Letter | Form | pdf | 35 KB | | 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) | Form | pdf | 38 KB | | health-benefits-nc-medicaid | form |
| dma-3057-ia North Carolina Community Alternatives Program for Children Participation Notice | Form | pdf | 97 KB | | health-benefits-nc-medicaid | form |
| dma-3059-ia Sterilization Consent Form | Form | pdf | 242 KB | | health-benefits-nc-medicaid | form |
| dma-3063-ia CAP/C – Physician’s Request Form for In-Home Nursing Services | Form | pdf | 36 KB | | health-benefits-nc-medicaid | form |
| dma-3065 PCS Medical Attestation for Licensed Care Home Residents | Form | pdf | 248 KB | | health-benefits-nc-medicaid | form |
| dma-3066 PCS for Licensed ACH Residents – Independent Assessment request for New Residents | Form | pdf | 231 KB | | health-benefits-nc-medicaid | form |
| dma-3072-ia Self-Assessment Tools | Form | pdf | 273 KB | | health-benefits-nc-medicaid | form |
| dma-3073-ia Individual Risk Assessment | Form | pdf | 41 KB | | health-benefits-nc-medicaid | form |
| dma-3085-I- Session Law 2013-306 PCS Training Attestation Form DMA-3085 | Form | pdf | 33 KB | | health-benefits-nc-medicaid | form |
| dma-3085-ia Session Law 2013-306 PCS Training Attestation Form May 30, 2018 | Form | | | | health-benefits-nc-medicaid | form |
| dma-3087-ia Service Request for Home and Community-Based Services – PHYSICIANS ATTESTATION | Form | pdf | 441 KB | | health-benefits-nc-medicaid | form |
| dma-3114-I-ia Instructions – Request for Reconsideration of PCS Authorization (DMA-3114) | Form | pdf | 274 KB | | health-benefits-nc-medicaid | form |
| dma-3114-ia Request for Reconsideration of PCS Authorization | Form | pdf | 201 KB | | health-benefits-nc-medicaid | form |
| dma-3116-I Instructions – Personal Care Services EPSDT Short-Term Increase-In-Hours Request Form (DMA-3116) | Form | pdf | 226 KB | | health-benefits-nc-medicaid | form |
| dma-3116-ia Personal Care Services EPSDT Short-Term Increase-In-Hours Request Form | Form | pdf | 526 KB | | health-benefits-nc-medicaid | form |
| dma-3125 Oral Nutrition Product Request Form | Form | pdf | 30 KB | | health-benefits-nc-medicaid | form |
| dma-3136-ia Internal Quality Improvement Program Attestation Form | Form | pdf | 213 KB | | health-benefits-nc-medicaid | form |
| dma-3136-ia-i Internal Quality Improvement Program Attestation Form – Instructions | Form | pdf | 32 KB | | health-benefits-nc-medicaid | form |
| dma-3137 Personal Care Services (PCS) ICD-10 Transition Form Jun 01, 2018 | Form | | | | health-benefits-nc-medicaid | form |
| dma-3137-i Personal Care Services (PCS) ICD-10 Transition Form – Instructions | Form | pdf | 298 KB | | health-benefits-nc-medicaid | form |
| dma-3142-ia Abortion Statement (DMA-3142-IA) | Form | pdf | 127 KB | | health-benefits-nc-medicaid | form |
| dma-3155 HIV Case Management – Medical Home Communication Tracker | Form | pdf | 543 KB | | health-benefits-nc-medicaid | form |
| dma-3156 HIV Case Management – Continuing Education Hours Approval Form | Form | pdf | 684 KB | | health-benefits-nc-medicaid | form |
| dma-3157 HIV Case Management Provider Recertification Application Checklist | Form | pdf | 213 KB | | health-benefits-nc-medicaid | form |
| dma-3158 HIV Case Management Provider Recertification Application | Form | pdf | 128 KB | | health-benefits-nc-medicaid | form |
| dma-3158-I HIV Case Management Provider Recertification Application – Instructions | Form | pdf | 189 KB | | health-benefits-nc-medicaid | form |
| dma-3159 HIV Case Management Basic Training Request Form | Form | pdf | 173 KB | | health-benefits-nc-medicaid | form |
| dma-3163-ia NC DMA – Community Alternatives Program for Children (CAP/C) Referral Form | Form | pdf | 523 KB | | health-benefits-nc-medicaid | form |
| dma-3165-ia Notification of Hospice and Personal Care Services (PCS) Coordination Form | Form | pdf | 414 KB | | health-benefits-nc-medicaid | form |
| dma-3171-I Verification of School Nursing – Instructions | Form | pdf | 346 KB | | health-benefits-nc-medicaid | form |
| dma-3171-ia Verification of School Nursing | Form | pdf | 442 KB | | health-benefits-nc-medicaid | form |
| dma-3172 Private Duty Nursing Employment Attestation Form | Form | pdf | 250 KB | | health-benefits-nc-medicaid | form |
| dma-3173 Verification of Employment Form | Form | pdf | 153 KB | | health-benefits-nc-medicaid | form |
| dma-3201-ia Critical Incident Report – Community Alternatives Program for Children (CAP-C) | Form | pdf | 298 KB | | health-benefits-nc-medicaid | form |
| dma-3212-ia NC Medicaid Hospice Prior Approval Authorization | Form | pdf | 110 KB | | health-benefits-nc-medicaid | form |
| dma-3350 Prior Approval Form for Lower Extremity Prosthetic Component L5781 or L5782 | Form | pdf | 25 KB | | health-benefits-nc-medicaid | form |
| dma-3351 Prior Approval Form for Lower Extremity Prosthetic Component L5930 | Form | pdf | 19 KB | | health-benefits-nc-medicaid | form |
| dma-3352 Prior Approval Form for Lower Extremity Prosthetic Component L5968 | Form | pdf | 20 KB | | health-benefits-nc-medicaid | form |
| dma-3353 Prior Approval Form for Lower Extremity Prosthetic Component L5980 | Form | pdf | 19 KB | | health-benefits-nc-medicaid | form |
| dma-3354 Prior Approval Form for Lower Extremity Prosthetic Component L5987 | Form | pdf | 19 KB | | health-benefits-nc-medicaid | form |
| dma-3355 Prior Approval Form for Lower Extremity Prosthetic Component L5988 | Form | pdf | 19 KB | | health-benefits-nc-medicaid | form |
| dma-3400 Request for HCPCS Code Addition – Medicaid Home Health Fee Schedule | Form | pdf | 601 KB | | health-benefits-nc-medicaid | form |
| dma-3504 Notice of Approval of Service Request | Form | pdf | 243 KB | | health-benefits-nc-medicaid | form |
| dma-3600 Tocolytic Prior Approval Request Form | Form | pdf | 34 KB | | health-benefits-nc-medicaid | form |
| DMA-3611 Dupixent for Asthma | Form | pdf | 114 KB | | health-benefits-nc-medicaid | form |
| dma-3701-ia N.C. Health Choice Extended Coverage | Form | pdf | 92 KB | | health-benefits-nc-medicaid | form |
| dma-3701sp-ia Cobertura Extendida de NC Health Choice | Form | pdf | 64 KB | | health-benefits-nc-medicaid | form |
| dma-372-124-ach-ia Adult Care Home FL2 Form | Form | pdf | 213 KB | | health-benefits-nc-medicaid | form |
| dma-5001sp AVISO DEL USO DE NUMEROS DE SEGURO SOCIAL Feb 04, 2022 | Form | | | | health-benefits-nc-medicaid | form |
| dma-5004 Buy-In Clerical Action | Form | pdf | 204 KB | | health-benefits-nc-medicaid | form |
| DMA-5008a North Carolina division of Medical Assistance Adult Budget Sheet | Form | pdf | 189 KB | | health-benefits-nc-medicaid | form |
| dma-5008b-ia Long Term Care Budget Supplement B to DMA-5008 | Form | pdf | 130 KB | | health-benefits-nc-medicaid | form |
| dma-5008c Spouse and Dependent Income Allowance Worksheet | Form | pdf | 51 KB | | health-benefits-nc-medicaid | form |
| dma-5008c-ia Spouse and Dependent Income Allowance Worksheet | Form | pdf | 63 KB | | health-benefits-nc-medicaid | form |
| dma-5008e ABD Medicaid Parent to Child Deeming Budget Sheet | Form | pdf | 46 KB | | health-benefits-nc-medicaid | form |
| dma-5008e-ia ABD Medicaid Parent to Child Deeming Budget Sheet | Form | pdf | 85 KB | | health-benefits-nc-medicaid | form |
| dma-5009 Social History Summary for the Disabled | Form | pdf | 25 KB | | health-benefits-nc-medicaid | form |
| dma-5009-ia Social History Summary for the Disabled | Form | pdf | 51 KB | | health-benefits-nc-medicaid | form |
| dma-5010-ia Referral for Inpatient Hospital and Intermediate Care Facility in State Mental Hospital/State Mental Retardation Centers | Form | pdf | 474 KB | | health-benefits-nc-medicaid | form |
| dma-5011-ia Managed Care Organization (MCO) Health Plan Welcome Letter | Form | pdf | 104 KB | | health-benefits-nc-medicaid | form |
| dma-5011a CAP Indicator Letter (Memorandum) | Form | pdf | 11 KB | | health-benefits-nc-medicaid | form |
| dma-5012 Managed Care Organization (MCO) Health Plan Transfer Letter | Form | pdf | 12 KB | | health-benefits-nc-medicaid | form |
| dma-5020 Notice of Case Status | Form | pdf | 77 KB | | health-benefits-nc-medicaid | form |
| dma-5020-ia Notice of Case Status | Form | pdf | 58 KB | | health-benefits-nc-medicaid | form |
| dma-5022-ia Eligibility Information System | Form | pdf | 160 KB | | health-benefits-nc-medicaid | form |
| dma-5024sp-ia Notificacion de Solicitud de Transporte Jan 26, 2021 | Form | | | | health-benefits-nc-medicaid | form |
| dma-5026 Notice of Obligation to Apply for Veteran’s Benefits | Form | pdf | 23 KB | | health-benefits-nc-medicaid | form |
| dma-5027 Verification of VA Benefits | Form | pdf | 23 KB | | health-benefits-nc-medicaid | form |
| dma-5031A Verification of Pregnancy | Form | pdf | 27 KB | | health-benefits-nc-medicaid | form |
| dma-5032 Presumptive Eligibility Determination Form for Pregnancy – Related Care | Form | pdf | 129 KB | | health-benefits-nc-medicaid | form |
| dma-5032-(H) Presumptive Eligibility Determination by Hospital | Form | pdf | 522 KB | | health-benefits-nc-medicaid | form |
| dma-5032sp Formulario De Determinación De Elegibilidad Presunta Para Recibir Atención Relacionada Con El Embarazo | Form | pdf | 43 KB | | health-benefits-nc-medicaid | form |
| dma-5033 Presumptive Eligibility Transmittal Form | Form | pdf | 44 KB | | health-benefits-nc-medicaid | form |
| dma-5033sp Formulario De Transmisión De Elegibilidad Presunta | Form | pdf | 26 KB | | health-benefits-nc-medicaid | form |
| dma-5034 Presumptive Eligibility Income Checklist | Form | pdf | 149 KB | | health-benefits-nc-medicaid | form |
| dma-5034sp Lista de Verification de Ingresos Para Elegibilidad Presunta | Form | pdf | 79 KB | | health-benefits-nc-medicaid | form |
| dma-5035 Presumptive Eligibility Denial | Form | pdf | 78 KB | | health-benefits-nc-medicaid | form |
| dma-5035sp Denegacion de Elegibilidad Presunta | Form | pdf | 17 KB | | health-benefits-nc-medicaid | form |
| dma-5036 Record of Medical Expenses Applied to the Deductible | Form | pdf | 200 KB | | health-benefits-nc-medicaid | form |
| dma-5037 Medical Provider Verification Form | Form | pdf | 12 KB | | health-benefits-nc-medicaid | form |
| dma-5039 Right to Rebut Value of Vehicles | Form | pdf | 11 KB | | health-benefits-nc-medicaid | form |
| dma-5041 Doctor’s Statement of Due Date | Form | pdf | 16 KB | | health-benefits-nc-medicaid | form |
| dma-5042 Mail-In Application, Additional Information | Form | pdf | 11 KB | | health-benefits-nc-medicaid | form |
| dma-5042-ia Additional Information Needed for Mail-In Application | Form | pdf | 29 KB | | health-benefits-nc-medicaid | form |
| dma-5043 Self-Employment Income and Expenses Verification Form | Form | pdf | 20 KB | | health-benefits-nc-medicaid | form |
| dma-5043-ia Self-Employment Income and Expenses Verification Form | Form | pdf | 81 KB | | health-benefits-nc-medicaid | form |
| dma-5044 Consent for Release of Information | Form | pdf | 22 KB | | health-benefits-nc-medicaid | form |
| dma-5045 Certification of Need For Institutional Care for Individual Under Age 21 | Form | pdf | 18 KB | | health-benefits-nc-medicaid | form |
| dma-5049-ia Referral to Local Social Security Office | Form | pdf | 209 KB | | health-benefits-nc-medicaid | form |
| dma-5050-ia Emergency Certification for Medicaid | Form | pdf | 73 KB | | health-benefits-nc-medicaid | form |
| dma-5055-ia Third Party Resource Transmittal | Form | pdf | 16 KB | | health-benefits-nc-medicaid | form |
| dma-5057 Explanation Of The Effect Of Transfer Of Asset (s) On Medical Assistance Eligibility | Form | pdf | 30 KB | | health-benefits-nc-medicaid | form |
| dma-5057sp Explicación De Los Efectos De La Transferencia De Activos Sobre La Elegibilidad Para Asistencia Médica | Form | pdf | 32 KB | | health-benefits-nc-medicaid | form |
| dma-5058 Participating Telephone Service Providers | Form | pdf | 19 KB | | health-benefits-nc-medicaid | form |
| dma-5066 NC Health Choice/Medicaid Mail-In Applications – Log | Form | pdf | 40 KB | | health-benefits-nc-medicaid | form |
| dma-5066-ia NC Health Choice/Medicaid Mail-In Applications – Log | Form | pdf | 32 KB | | health-benefits-nc-medicaid | form |
| dma-5069 Special Health Care Needs Questionnaire | Form | pdf | 68 KB | | health-benefits-nc-medicaid | form |
| dma-5069sp Cuestionario para Necesidades Especiades de Salud | Form | pdf | 99 KB | | health-benefits-nc-medicaid | form |
| dma-5071i NC Health Choice Designation of Authorized Representative Form | Form | pdf | 62 KB | | health-benefits-nc-medicaid | form |
| dma-5071sp NC Health Choice: Designación De Representante Autorizo | Form | pdf | 86 KB | | health-benefits-nc-medicaid | form |
| dma-5072i NC Health Choice First Level Review Request Form | Form | pdf | 174 KB | | health-benefits-nc-medicaid | form |
| dma-5072sp Explicación Del Proceso De Revisión De Primer Nivel | Form | pdf | 62 KB | | health-benefits-nc-medicaid | form |
| dma-5073-ia NC Health Choice – External Second Level Review Request Form | Form | pdf | 253 KB | | health-benefits-nc-medicaid | form |
| dma-5073sp Explanación Del Proceso De Revisión De Segundo Nivel | Form | pdf | 270 KB | | health-benefits-nc-medicaid | form |
| dma-5076 Pregnancy Medical Home Handout | Form | pdf | 26 KB | | health-benefits-nc-medicaid | form |
| dma-5076sp Folleto de Pregnancy Medical Home | Form | pdf | 22 KB | | health-benefits-nc-medicaid | form |
| dma-5086 Request for Access to DHHS Provider Penalty Tracking Database | Form | pdf | 70 KB | | health-benefits-nc-medicaid | form |
| dma-5093-ia DAILY RECEPTION LOG FOR MEDICAL AND FINANCIAL ASSISTANCE | Form | pdf | 60 KB | | health-benefits-nc-medicaid | form |
| dma-5094 Notice of Your Right to Apply for Benefits | Form | pdf | 36 KB | | health-benefits-nc-medicaid | form |
| dma-5094sp Aviso de Su Derecho a Solicitar Beneficios | Form | pdf | 80 KB | | health-benefits-nc-medicaid | form |
| dma-5095 Medicaid/Work First Notice of Inquiry | Form | pdf | 102 KB | | health-benefits-nc-medicaid | form |
| dma-5095-ia Medicaid/Work First Notice of Inquiry | Form | pdf | 101 KB | | health-benefits-nc-medicaid | form |
| dma-5095sp-ia Aviso De Indagacion Sobre Medicaid/Work First | Form | pdf | 72 KB | | health-benefits-nc-medicaid | form |
| dma-5096-ia Documentation of Need | Form | pdf | 174 KB | | health-benefits-nc-medicaid | form |
| dma-5097-ia Request for Information | Form | pdf | 51 KB | | health-benefits-nc-medicaid | form |
| dma-5097sp Solicitud de información | Form | pdf | 41 KB | | health-benefits-nc-medicaid | form |
| dma-5098sp-ia Su Solicitud Para Medicaid Esta Pendiente | Form | pdf | 85 KB | | health-benefits-nc-medicaid | form |
| dma-5100 Notice of Medicaid Redetermination | Form | pdf | 20 KB | | health-benefits-nc-medicaid | form |
| dma-5100sp Aviso De Redeterminación De Medicaid | Form | pdf | 20 KB | | health-benefits-nc-medicaid | form |
| dma-5100sp Aviso De Redeterminación De Medicaid | Form | pdf | 29 KB | | health-benefits-nc-medicaid | form |
| dma-5101 Notice of Approval | Form | pdf | 28 KB | | health-benefits-nc-medicaid | form |
| dma-5102 SSI Denial | Form | pdf | 20 KB | | health-benefits-nc-medicaid | form |
| dma-5102sp Negación de SSI | Form | pdf | 20 KB | | health-benefits-nc-medicaid | form |
| dma-5103D SSI Medicaid Denial Due to Refusal to Provide Health Insurance Information | Form | pdf | 20 KB | | 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 | Form | pdf | 20 KB | | health-benefits-nc-medicaid | form |
| dma-5103T SSA Medicaid Termination Due to Refusal to Provide Health Insurance Information | Form | pdf | 20 KB | | 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 | Form | pdf | 20 KB | | health-benefits-nc-medicaid | form |
| dma-5105 Adult Mail-In Application Log | Form | pdf | 17 KB | | health-benefits-nc-medicaid | form |
| dma-5105-ia Adult Mail-In Application Log | Form | pdf | 32 KB | | health-benefits-nc-medicaid | form |
| dma-5108 Provider Transportation Record | Form | pdf | 80 KB | | health-benefits-nc-medicaid | form |
| dma-5109 Model No-Show Policy for Community Transportation Systems | Form | pdf | 116 KB | | health-benefits-nc-medicaid | form |
| dma-5110-ia Disclosure of Annuities | Form | pdf | 26 KB | | health-benefits-nc-medicaid | form |
| dma-5111-ia Verification of Annuities Properties | Form | pdf | 82 KB | | health-benefits-nc-medicaid | form |
| dma-5112-ia Informational Notice Regarding Annuities and Medicaid Eligibility | Form | pdf | 26 KB | | health-benefits-nc-medicaid | form |
| dma-5113-ia Notification of Right to Request an Undue Hardship Waiver (Transfer of Assets) | Form | pdf | 31 KB | | health-benefits-nc-medicaid | form |
| dma-5114-ia Request for Documentation for Undue Hardship Claim | Form | pdf | 29 KB | | health-benefits-nc-medicaid | form |
| dma-5115-ia Notification of Right to Request a Demonstrated Hardship Waiver (Home Equity Value) | Form | pdf | 28 KB | | health-benefits-nc-medicaid | form |
| dma-5122 Community Spouse Resource Protection Worksheet | Form | pdf | 142 KB | | health-benefits-nc-medicaid | form |
| dma-5124 Medicaid Transportation Provider Documentation | Form | pdf | 31 KB | | health-benefits-nc-medicaid | form |
| dma-5124a Medicaid Transportation Provider Documentation Addendum | Form | pdf | 84 KB | | health-benefits-nc-medicaid | form |
| dma-5127 Notice of Reactivating The Health Check/Health Choice Program | Form | pdf | 55 KB | | health-benefits-nc-medicaid | form |
| dma-5127sp Notice of Reactivating The Health Check/Health Choice Program | Form | pdf | 54 KB | | health-benefits-nc-medicaid | form |
| dma-5128 Health Choice Enrollment & Waiting List Notification | Form | pdf | 25 KB | | health-benefits-nc-medicaid | form |
| dma-5128sp Registro de Health Choice & Lista de Espera Notification | Form | pdf | 44 KB | | health-benefits-nc-medicaid | form |
| dma-5131 FAX Request Form – From County DSS to EOIR | Form | pdf | 21 KB | | health-benefits-nc-medicaid | form |
| dma-5132 FAX Request Form – From County DSS to USCIS | Form | pdf | 24 KB | | health-benefits-nc-medicaid | form |
| dma-5133 Emergency Medical Services Request for Information | Form | pdf | 13 KB | | health-benefits-nc-medicaid | form |
| dma-5134 Emergency Medical Services Request for Missing Information | Form | pdf | 20 KB | | health-benefits-nc-medicaid | form |
| dma-5135 Dates of Emergency Services Requested for an Alien | Form | pdf | 39 KB | | health-benefits-nc-medicaid | form |
| dma-5141 Medicare/Medicare Part B Enrollment Advisory Letter (Automated) | Form | pdf | 27 KB | | health-benefits-nc-medicaid | form |
| dma-5146 Health Coverage for Workers with Disabilities Premium Notice | Form | pdf | 28 KB | | health-benefits-nc-medicaid | form |
| dma-5147 HCWD Denial for Non-Payment of Premium | Form | pdf | 21 KB | | health-benefits-nc-medicaid | form |
| dma-5148 HCWD Termination for Non-Payment of Premiums | Form | pdf | 22 KB | | health-benefits-nc-medicaid | form |
| dma-5149 HCWD Enrollment Fee Notice | Form | pdf | 11 KB | | health-benefits-nc-medicaid | form |
| dma-5150 Documentation of Passalong Eligibility or Ineligibility | Form | pdf | 11 KB | | health-benefits-nc-medicaid | form |
| dma-5150A Screening for Medicaid under the COLA Passalong | Form | pdf | 18 KB | | health-benefits-nc-medicaid | form |
| dma-5151 Health Coverage For Workers With Disabilities (HCWD) Medical Information Release Authorization | Form | pdf | 11 KB | | health-benefits-nc-medicaid | form |
| dma-5153 North Carolina Residency Applicant Declaration | Form | pdf | 12 KB | | health-benefits-nc-medicaid | form |
| dma-5153sp Declaración del solicitante de residencia en Carolina del Norte | Form | pdf | 78 KB | | health-benefits-nc-medicaid | form |
| dma-5154 County Transfer Letter | Form | pdf | 19 KB | | health-benefits-nc-medicaid | form |
| dma-5154-ia County Transfer Letter | Form | pdf | 31 KB | | health-benefits-nc-medicaid | form |
| dma-5155 Verification of Cash Value of Life Insurance | Form | pdf | 18 KB | | health-benefits-nc-medicaid | form |
| dma-5156 Statement of Outstanding Checks | Form | pdf | 11 KB | | health-benefits-nc-medicaid | form |
| dma-5157 Notice of Total Countable Resources; Right To Rebut Value | Form | pdf | 16 KB | | health-benefits-nc-medicaid | form |
| DMA-5157 SP Notice of Total Countable Resources; Right to Rebute Value | Form | pdf | 160 KB | | health-benefits-nc-medicaid | form |
| dma-5158 INCOME PRODUCING PROPERTY GUIDE | Form | pdf | 102 KB | | health-benefits-nc-medicaid | form |
| dma-5159 Statement of Intent to Return Home | Form | pdf | 12 KB | | health-benefits-nc-medicaid | form |
| dma-5160 Statement Of Spouse Or Dependent Relative In The Home | Form | pdf | 12 KB | | health-benefits-nc-medicaid | form |
| dma-5161 Transfer Of Asset Below Current Market Value Important Notice | Form | pdf | 24 KB | | health-benefits-nc-medicaid | form |
| dma-5167 County Analysis – Non-Compliance with Processing Thresholds or Thresholds for Denials, Withdrawals, Inquiries | Form | pdf | 383 KB | | health-benefits-nc-medicaid | form |
| dma-5168 Actions Taken On Improper Denials, Withdrawals, Or Inquiries Identified In Monitoring | Form | pdf | 177 KB | | health-benefits-nc-medicaid | form |
| dma-5169 Report Card Analysis | Form | pdf | 186 KB | | health-benefits-nc-medicaid | form |
| dma-5171 Approval Notice For Retroactive Medicaid Benefits | Form | pdf | 12 KB | | health-benefits-nc-medicaid | form |
| dma-5172 Erroneous Authorization Dates of Medicaid Eligibility | Form | pdf | 14 KB | | health-benefits-nc-medicaid | form |
| dma-5175 Marriage Verification | Form | pdf | 11 KB | | health-benefits-nc-medicaid | form |
| dma-5176 U.S. Citizenship Documentation Birth Certificate Request | Form | pdf | 12 KB | | health-benefits-nc-medicaid | form |
| dma-5178 U.S. Citizenship Documentation Desk Reference | Form | pdf | 37 KB | | health-benefits-nc-medicaid | form |
| dma-5180 SSI Check Terminated: Information Needed to Determine Medicaid Eligibility | Form | pdf | 336 KB | | health-benefits-nc-medicaid | form |
| dma-5181 Calculating Penalty Period – Transfers 11/1/07 or Later | Form | pdf | 19 KB | | health-benefits-nc-medicaid | form |
| dma-5182 Notice Of Cooperation In Establishing Paternity And Or Medical Support | Form | pdf | 13 KB | | health-benefits-nc-medicaid | form |
| dma-5183 Presumptive Eligibility Log | Form | pdf | 27 KB | | health-benefits-nc-medicaid | form |
| dma-5199-ia Medicaid Renewal Request for Information Notice | Form | pdf | 374 KB | | health-benefits-nc-medicaid | form |
| dma-5199sp-ia Aviso de pedido de información para la renovación de Medicaid | Form | pdf | 282 KB | | health-benefits-nc-medicaid | form |
| dma-5202A-ia Health Coverage from Jobs – Appendix A | Form | pdf | 677 KB | | health-benefits-nc-medicaid | form |
| dma-5202Asp-ia Apéndice A – Coberta de salud de empleos | Form | pdf | 241 KB | | health-benefits-nc-medicaid | form |
| dma-5202B-ia American Indian or Alaska Native Family Member (AI/AN) – Appendix B | Form | pdf | 37 KB | | health-benefits-nc-medicaid | form |
| dma-5202Bsp-ia Apéndice B – Miembro de la familia amerindio o nativo de Alaska (AI/AN) | Form | pdf | 167 KB | | health-benefits-nc-medicaid | form |
| dma-5202Csp-ia Apéndice C – Designación de representante autorizado | Form | pdf | 227 KB | | health-benefits-nc-medicaid | form |
| DMA-5202D-ia Income/Resources – Appendix D | Form | pdf | 702 KB | | health-benefits-nc-medicaid | form |
| DMA-5202DSp-ia Apéndice D – Ingresos/Recursos | Form | pdf | 308 KB | | health-benefits-nc-medicaid | form |
| DMA-7010 Reports of Referrals to Law Enforcement | Form | pdf | 71 KB | | health-benefits-nc-medicaid | form |
| DMA-7057 Referral For Investigation | Form | pdf | 14 KB | | health-benefits-nc-medicaid | form |
| DMA-7098-ia Request and Authorization to Disclose Health Information | Form | pdf | 47 KB | | health-benefits-nc-medicaid | form |
| DMA-9001 Carolina ACCESS Complaint Form Instructions | Form | pdf | 42 KB | | health-benefits-nc-medicaid | form |
| DMA-9002-ia CCNC/CA – Medical Exemption Request | Form | pdf | 60 KB | | health-benefits-nc-medicaid | form |
| DMA-9006 Carolina ACCESS Enrollment Form for Recipients of Medicaid and Health Choice | Form | pdf | 70 KB | | health-benefits-nc-medicaid | form |
| DMA-9006-ia Carolina ACCESS Enrollment Form | Form | pdf | 43 KB | | health-benefits-nc-medicaid | form |
| DMA-9007 Mail-In Application/Reenrollment Form | Form | pdf | 74 KB | | health-benefits-nc-medicaid | form |
| DMA-9008-SSI Recipient without Medicare | Form | pdf | 63 KB | | health-benefits-nc-medicaid | form |
| DMA-9009 SSI Recipient with Medicare | Form | pdf | 49 KB | | health-benefits-nc-medicaid | form |
| DMA-9010 County Transfer | Form | pdf | 53 KB | | health-benefits-nc-medicaid | form |
| DMA-9011 Change in Primary Doctor Practice | Form | pdf | 53 KB | | health-benefits-nc-medicaid | form |
| DMA-9012 Primary Care Provider Disenrolls Recipient | Form | pdf | 59 KB | | health-benefits-nc-medicaid | form |
| DMA-9013 Recipient with a Temporary Exempt | Form | pdf | 65 KB | | health-benefits-nc-medicaid | form |
| DMA-9016 CCNC/CA The Benefits of Being A Member-Medicaid | Form | pdf | 79 KB | | health-benefits-nc-medicaid | form |
| DMA-9016sp CCNC/CA: Las Ventajas de Ser Mirembro-Medicaid | Form | pdf | 16 KB | | health-benefits-nc-medicaid | form |
| DMA-9017 CCNC/CA: The Benefits of Being a Member-NCHC | Form | pdf | 118 KB | | health-benefits-nc-medicaid | form |
| DMA-9017sp CCNC/CA, Los Beneficios de Ser Miembro-NCHC | Form | pdf | 123 KB | | health-benefits-nc-medicaid | form |
| DMA-9050-ia Nursing Home Notice of Transfer/Discharge | Form | pdf | 77 KB | | health-benefits-nc-medicaid | form |
| DMA-9051-ia Nursing Home Hearing Request Form | Form | pdf | 69 KB | | health-benefits-nc-medicaid | form |
| DMA-9052-ia Adult Care Home Notice of Transfer/Discharge | Form | pdf | 85 KB | | health-benefits-nc-medicaid | form |
| DMA-9053-ia Adult Care Home Hearing Request Form | Form | pdf | 61 KB | | 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) | Administrative Letter | pdf | 157 KB | | 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) | Administrative Letter | pdf | 157 KB | | 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 | Administrative Letter | pdf | 2 MB | | 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 | Administrative Letter | pdf | 2 MB | | 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 | Administrative Letter | pdf | 31 KB | | 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 | Administrative Letter | pdf | 31 KB | | 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 | Administrative Letter | pdf | 499 KB | | 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) | Administrative Letter | pdf | 53 KB | | 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) | Administrative Letter | pdf | 53 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | administrative-letter |
| DSS-8110 CHANGE/TERMINATION ADEQUATE | Form | pdf | 133 KB | | health-benefits-nc-medicaid | form |
| DSS-8110 CHANGE/TERMINATION TIMELY | Form | pdf | 121 KB | | health-benefits-nc-medicaid | form |
| DSS-8110 CONTINUING | Form | pdf | 107 KB | | health-benefits-nc-medicaid | form |
| DSS-8110 Transitional | Form | pdf | 177 KB | | health-benefits-nc-medicaid | form |
| DSS-8110sp CHANGE/TERMINATION ADEQUATE | Form | pdf | 105 KB | | health-benefits-nc-medicaid | form |
| DSS-8110sp CHANGE/TERMINATION TIMELY | Form | pdf | 91 KB | | health-benefits-nc-medicaid | form |
| DSS-8110sp CONTINUING | Form | pdf | 134 KB | | health-benefits-nc-medicaid | form |
| DSS-8110sp Transitional | Form | pdf | 184 KB | | health-benefits-nc-medicaid | form |
| EIS-1105 STATE DATA EXCHANGE (SDX) | Manual | pdf | 293 KB | | health-benefits-nc-medicaid medicaid-eligibility-information-system-eis | manual |
| EIS-4000 CODES APPENDIX B – MEDICAID CODES | Manual | pdf | 342 KB | | health-benefits-nc-medicaid medicaid-eligibility-information-system-eis | manual |
| EIS-4000 CODES APPENDIX E – TRANSITIONAL CODES | Manual | pdf | 72 KB | | health-benefits-nc-medicaid medicaid-eligibility-information-system-eis | manual |
| EIS-4000 CODES APPENDIX TABLE OF CONTENTS | Manual | pdf | 285 KB | | health-benefits-nc-medicaid medicaid-eligibility-information-system-eis | manual |
| FAMILY AND CHILDREN’S MEDICAID TABLE OF CONTENTS | Manual | pdf | 122 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA- 200 Definitions | Policy | pdf | 160 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA- 300 Confidentiality | Policy | pdf | 111 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA- 400 Introduction to Medicaid | Policy | pdf | 32 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA- 500 Classification | Policy | pdf | 112 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-1000 SSI MEDICAID AUTOMATED PROCESS | Policy | pdf | 285 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-1100 SSI Medicaid-County DSS Responsibility | Policy | pdf | 240 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2000 NON-SSI ELIGIBILITY REGULATIONS | Policy | pdf | 47 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2100 CATEGORICALLY NEEDY-NO MONEY PAYMENT | Policy | pdf | 21 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2110 PASSALONG | Policy | pdf | 236 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2120 MEDICALLY NEEDY REGULATIONS{ XE “MEDICALLY NEEDY REGULATIONS” } | Policy | pdf | 23 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2130 QUALIFIED MEDICARE BENEFICIARIES – Q | Policy | pdf | 169 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2140 QUALIFIED MEDICARE BENEFICIARIES – B | Policy | pdf | 171 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2150 MEDICAID-WORKING DISABLED | Policy | pdf | 24 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2160 QUALIFIED INDIVIDUAL – MQB-E | Policy | pdf | 170 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2170 FAMILY PLANNING PROGRAM | Policy | pdf | 123 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2180 HEALTH COVERAGE FOR WORKERS WITH DISABILITIES | Policy | pdf | 331 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2180 HEALTH COVERAGE FOR WORKERS WITH DISABILITIES – 2019 HCWD Premiums | Policy | pdf | 122 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2220 STATE RESIDENCY | Policy | pdf | 187 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2221 COUNTY RESIDENCE | Policy | pdf | 85 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2230 FINANCIAL RESOURCES | Policy | pdf | 791 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2231 COMMUNITY SPOUSE RESOURCE PROTECTION | Policy | pdf | 207 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2240 TRANSFER OF ASSETS | Policy | pdf | 425 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2242 HOME EQUITY VALUE & ELIGIBILITY FOR INSTITUTIONAL SERVICES | Policy | pdf | 134 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2245 UNDUE HARDSHIP WAIVER FOR TRANSFER OF ASSETS | Policy | pdf | 93 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2250 INCOME | Policy | pdf | 571 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2251 REASONABLE COMPATIBILITY | Policy | pdf | 154 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2251 Reasonable Compatibility Calculator-20% Effective January 16, 2023 | Policy | xlsx | 12 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2252 2018 NON-MAGI MEDICAID INCOME/RESERVE LIMITS | Policy | pdf | 126 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2252 2019 NON-MAGI MEDICAID INCOME/RESERVE LIMITS | Policy | pdf | 134 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2252 2020 NON-MAGI MEDICAID INCOME/RESERVE LIMITS | Policy | pdf | 130 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2252 2021 NON-MAGI MEDICAID INCOME/RESERVE LIMITS | Policy | pdf | 131 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2252 2022 NON-MAGI MEDICAID INCOME/RESERVE LIMITS | Policy | pdf | 132 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2252 2023 NON-MAGI MEDICAID INCOME/RESERVE LIMITS | Policy | pdf | 147 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2260 FINANCIAL ELIGIBILITY REGULATIONS-PLA | Policy | pdf | 214 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2261 1/3 REDUCTION | Policy | pdf | 20 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2262 SPONSOR DEEMING | Policy | pdf | 137 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2270 LONG TERM CARE NEED AND BUDGETING | Policy | pdf | 500 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2270 LTC Evidence Changes Prior to Eligibility Determination Listserv | Policy | pdf | 58 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2270 Prepaid Health Plan Notification of Nursing Facility Level of Care Form | Policy | pdf | 128 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2275 PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) | Policy | pdf | 356 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2280 COMMUNITY ALTERNATIVES PROGRAM (CAP) | Policy | pdf | 187 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2282 INNOVATIONS | Policy | pdf | 309 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2283 TRAUMATIC BRAIN INJURY (TBI) | Policy | pdf | 227 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2284 MONEY FOLLOWS THE PERSON | Policy | pdf | 203 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2285 ESTATE RECOVERY | Policy | pdf | 572 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2290 MANAGED CARE | Policy | pdf | 234 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2295 DISCOURAGEMENT | Policy | pdf | 74 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2296 INQUIRY | Policy | pdf | 154 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2300 APPLICATION | Policy | pdf | 357 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2301 POST ELIGIBILITY VERIFICATION | Policy | pdf | 337 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2302 OUTSTATIONS | Policy | pdf | 145 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2305 EVALUATING COUNTY/DDS PERFORMANCE | Policy | pdf | 199 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2306 APPLICATION PROCESSING – CORRECTIVE ACTION PROCEDURES | Policy | pdf | 189 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2309 LIS APPLICATION FOR MEDICAID | Policy | pdf | 48 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2310 TAKING THE LIS APPLICATION | Policy | pdf | 189 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2311 LIS PROCESSING AND MAINTENANCE | Policy | pdf | 217 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2312 MEDICARE PRESCRIPTION DRUG BENEFIT | Policy | pdf | 117 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2320 RECERTIFICATION | Policy | pdf | 314 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2321 MEDICALLY NEEDY RECERTIFICATION | Policy | pdf | 310 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2340 CHANGE IN SITUATION | Policy | pdf | 227 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2350 CERTIFICATION AND AUTHORIZATION | Policy | pdf | 9 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2352 CHANGE IN CIRCUMSTANCE, TERMINATIONS, AND REOPENING | Policy | pdf | 466 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2355 MAABD/MQB PROGRAM TRANSFERS | Policy | pdf | 27 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2360 MEDICAID DEDUCTIBLE | Policy | pdf | 283 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2375 CHILD SUPPORT | Policy | pdf | 153 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2380 MEDICAID IDENTIFICATION CARD | Policy | pdf | 74 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2395 CORRECTIVE ACTION AND RESPONSIBILITY FOR ERRORS | Policy | pdf | 567 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2395 Medicaid Procedures for Requesting Corrections – DSS Support Unit | Policy | pdf | 567 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2400 Additions/Terminations/Changes to Third Party Insurance Listserv (August 10, 2020) | Policy | pdf | 112 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2400 THIRD PARTY RECOVERY | Policy | pdf | 124 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2410 MEDICARE ENROLLMENT & BUY-IN | Policy | pdf | 474 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2420 DHB -DSS 8110 DESK REFERENCE TOOL | Tool | pdf | 681 KB | | adult-medicaid health-benefits-nc-medicaid | tool |
| MA-2420 NOTICE AND HEARINGS PROCESS | Policy | pdf | 318 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2425 COMMUNITY CARE OF NORTH CAROLINA (CCNC)/CAROLINA ACCESS (CA) | Policy | pdf | 181 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2430 AUTOMATED INQUIRY AND MATCH PROCEDURES | Policy | pdf | 249 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2440 AUTOMATED SOLQ PROCEDURES | Policy | pdf | 34 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2450 ENUMERATION | Policy | pdf | 166 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2500 AGE/NAME/MARITAL STATUS | Policy | pdf | 60 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2504 ALIEN REQUIREMENTS | Policy | pdf | 811 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2505 CITIZENSHIP/IDENTITY SSA DATA MATCH | Policy | pdf | 93 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2506 US CITIZENSHIP REQUIREMENTS | Policy | pdf | 206 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2507 TRIBAL MEMBERSHIP AND AMERICAN INDIAN HEALTH SERVICE | Policy | pdf | 185 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2510 LIVING ARRANGEMENT | Policy | pdf | 341 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2525 DISABILITY | Policy | pdf | 288 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2531 BLINDNESS – MAB | Policy | pdf | 27 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2900 RECIPIENT FRAUD AND ABUSE POLICY AND PROCEDURES | Policy | pdf | 1 MB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2905- MEDICAID COVERED SERVICES | Policy | pdf | 555 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2910 – NON-EMERGENCY MEDICAL TRANSPORTATION (NEMT) | Policy | pdf | 561 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2930 2023-2024 County Internal Inspection Schedule | Policy | xlsx | 13 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2930 SECURITY OF INTERNAL REVENUE SERVICE AND SOCIAL SECURITY ADMINISTRATION INFORMATION | Policy | pdf | 225 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-2940 SOCIAL SECURITY COST-OF-LIVING ADJUSTMENT (COLA) | Policy | pdf | 148 KB | | adult-medicaid health-benefits-nc-medicaid | policy |
| MA-3100 INTRODUCTION | Manual | pdf | 382 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3110 DEFINITIONS | Manual | pdf | 273 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3120 SSI MEDICAID | Manual | pdf | 211 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3185 DISCOURAGEMENT | Manual | pdf | 117 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3190 INQUIRY | Manual | pdf | 133 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3200 APPLICATION | Manual | pdf | 388 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3205 POST ELIGIBILITY VERIFICATION | Manual | pdf | 112 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3207 OUTSTATIONS | Manual | pdf | 125 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3217 EVALUATING COUNTY/DDS PERFORMANCE | Manual | pdf | 227 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3225 APPLICATION PROCESSING – CORRECTIVE ACTION PROCEDURES | Manual | pdf | 198 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3230 AUTO NEWBORN | Manual | pdf | 135 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3231 ADOPTION MEDICAL ASSISTANCE | Manual | pdf | 142 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3232 FOSTER CARE MEDICAL ASSISTANCE | Manual | pdf | 149 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3233 FORMER FOSTER CARE CHILDREN (MFC) | Manual | pdf | 40 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3234 EXPANDED FOSTER CARE PROGRAM (EFCP) | Manual | pdf | 37 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3235 CARETAKER RELATIVES/KINSHIP | Manual | pdf | 181 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3236 MAGI ADULT MEDICAID EXPANSION | Manual | pdf | 176 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3240 PREGNANT WOMAN COVERAGE | Manual | pdf | 260 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3245 PRESUMPTIVE ELIGIBILITY FOR PREGNANT WOMEN | Manual | pdf | 400 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3246 HOSPITAL PRESUMPTIVE ELIGIBILITY | Manual | pdf | 176 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3250 BREAST AND CERVICAL CANCER MEDICAID (BCCM) | Manual | pdf | 168 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3260 COMMUNITY ALTERNATIVES PROGRAM (CAP) | Manual | pdf | 212 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3262 MONEY FOLLOWS THE PERSON | Manual | pdf | 181 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3263 MANAGED CARE | Manual | pdf | 216 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3265 FAMILY PLANNING PROGRAM | Manual | pdf | 142 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3270 PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) | Manual | pdf | 129 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3300 INCOME | Manual | pdf | 569 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3305 MAF, MIC, HSF BUDGETING | Manual | pdf | 266 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3306 DESK TOOL REFERENCE – CONSTRUCTING THE MAGI HOUSEHOLD | Manual | pdf | 168 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3306 DESK TOOL REFERENCE – MAGI HOUSEHOLD COMPOSITION CHART | Manual | pdf | 115 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3306 MODIFIED ADJUSTED GROSS INCOME (MAGI) | Manual | pdf | 422 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3310 REASONABLE COMPATIBILITY | Manual | pdf | 190 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3313 SPONSOR DEEMING | Manual | pdf | 140 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3315 MEDICAID DEDUCTIBLE | Manual | pdf | 315 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3320 RESOURCES | Manual | pdf | 226 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3321 2018 MAGI MEDICAID/NCHC INCOME LIMITS | Manual | doc | 126 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3321 2019 MAGI MEDICAID/NCHC INCOME LIMITS | Manual | doc | 110 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3321 2020 MAGI MEDICAID/NCHC INCOME LIMITS | Manual | pdf | 121 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3321 2021 MAGI MEDICAID/NCHC INCOME LIMITS | Manual | pdf | 122 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3321 2022 MAGI MEDICIAD/NCHC INCOME LIMITS | Manual | pdf | 122 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3321 2023 MAGI MEDICAID INCOME LIMITS | Manual | pdf | 224 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3321 2023 MAGI MEDICAID INCOME LIMITS WITH MXP | Manual | pdf | 107 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3321 MAGI MEDICAID & MEDICAID EXPANSION INCOME LIMITS | Manual | pdf | 107 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3322 COMMUNITY SPOUSE RESOURCE PROTECTION | Manual | pdf | 92 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3325 LONG TERM CARE BUDGETING | Manual | pdf | 116 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3326 ESTATE RECOVERY | Manual | pdf | 262 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3330 ALIEN REQUIREMENTS | Manual | pdf | 503 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3331 CITIZENSHIP/IDENTITY SSA DATA MATCH | Manual | pdf | 93 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3332 US CITIZENSHIP REQUIREMENTS | Manual | pdf | 206 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3333 TRIBAL MEMBERSHIP AND AMERICAN INDIAN HEALTH SERVICE | Manual | pdf | 186 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3335 STATE RESIDENCY | Manual | pdf | 190 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3340 COUNTY RESIDENCE | Manual | pdf | 112 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3345 AGE/NAME/MARITAL STATUS | Manual | pdf | 52 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3355 ENUMERATION | Manual | pdf | 170 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3360 LIVING ARRANGEMENT | Manual | pdf | 404 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3365 CHILD SUPPORT | Manual | pdf | 157 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3400 FOUR MONTHS TRANSITIONAL MEDICAID | Manual | pdf | 83 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3405 TWELVE MONTHS TRANSITIONAL MEDICAID | Manual | pdf | 204 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3410 CHANGE IN CIRCUMSTANCE, TERMINATIONS, AND REOPENING | Manual | pdf | 281 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3415 CLASSIFICATION AND EVALUATION | Manual | pdf | 44 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3420 MEDICALLY NEEDY RECERTIFICATION | Manual | pdf | 397 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3421 MAGI RECERTIFICATION | Manual | pdf | 529 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3425 CERTIFICATION AND AUTHORIZATION | Manual | pdf | 75 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3430 NOTICE AND HEARINGS PROCESS | Manual | pdf | 348 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3435 COMMUNITY CARE OF NORTH CAROLINA (CCNC)/CAROLINA ACCESS (CA) | Manual | pdf | 194 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3500 CONFIDENTIALITY | Manual | pdf | 109 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3505 MEDICAID IDENTIFICATION CARD | Manual | pdf | 74 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3510 THIRD PARTY RECOVERY | Manual | pdf | 120 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3515 AUTOMATED INQUIRY AND MATCH PROCEDURES | Manual | pdf | 261 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3520 AUTOMATED SOLQ PROCEDURES | Manual | pdf | 22 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3525 MEDICARE ENROLLMENT & BUY-IN | Manual | pdf | 233 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3530 CORRECTIVE ACTION AND RESPONSIBILITY FOR ERRORS | Manual | pdf | 166 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3535 RECIPIENT FRAUD AND ABUSE POLICY AND PROCEDURES | Manual | pdf | 2 MB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3540 MEDICAID COVERED SERVICES | Manual | pdf | 554 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3550 NON-EMERGENCY MEDICAL TRANSPORTATION (NEMT) | Manual | pdf | 627 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3560 2023 – 2024 COUNTY INTERNAL INSPECTION SCHEDULE | Manual | xlsx | 13 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3560 SECURITY OF INTERNAL REVENUE SERVICE AND SOCIAL SECURITY ADMINISTRATION INFORMATION | Manual | pdf | 247 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| MA-3570 SOCIAL SECURITY COST-OF-LIVING ADJUSTMENT (COLA) | Manual | pdf | 172 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| 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 | Administrative Letter | pdf | 499 KB | | adult-medicaid health-benefits-nc-medicaid | administrative-letter |
| Test 1 | Manual | pdf | 13 KB | | family-and-childrens-medicaid health-benefits-nc-medicaid | manual |
| X/PTR – REPORT DISTRIBUTION SYSTEM | Manual | pdf | 148 KB | | health-benefits-nc-medicaid medicaid-eligibility-information-system-eis | manual |
