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Health Benefits/NC Medicaid

TitleTypeFormatSize hf:doc_categorieshf:doc_tags
2023 Basic Medicaid Eligibility Requirementspdf165 KBbasic-medicaid-eligibility-requirements health-benefits-nc-medicaidmanual
ADMINISTRATIVE LETTER NO: 01-11, Self Certification For Life Line Link Uppdf19 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
ADULT MEDICAID TABLE OF CONTENTSpdf126 KBadult-medicaid health-benefits-nc-medicaidpolicy
Attachment – DHB Self-Attestationpdf240 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
CHANGE NOTICE 10-01, Spousal Income And Resource Protectionpdf35 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE 11-01, Exparte Review Of SSI Terminationspdf15 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE 12-01, Definition Of Name And Related Changespdf18 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE 13-01, Resources Owned By Incompetent Individualspdf22 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE 14-01, Poverty Level Based Income Limitspdf41 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL 16-01, Table Of Contents And Indexpdf17 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL 17-01, Children In PRTFSpdf22 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO 01-06, State Residencepdf19 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO 18-05, Spousal Income Protectionpdf25 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-02, Fl-2 Processpdf93 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-02, Spousal Income Protectionpdf15 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-03, Recipient Fraud And Abuse Policypdf47 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-03, Spousal Income Protection And Transfer Of Assetspdf21 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-04, Breast And Cervical Cancer Medicaidpdf40 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-04, Community Spouse Income Allowancepdf16 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-05, Case Mixpdf19 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-05, Spousal Income Protectionpdf17 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-06, State Residencepdf22 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-07, Community Alternative Program/Aids Waiverpdf24 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-07, Community Alternative Program/Aids Waiverpdf24 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-08, Community Spouse Income Resource Protectionpdf46 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-08, Medicare Deductiblepdf23 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-09, Medicaid Id Card/ Family Planning Waiverpdf29 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-09, Medicaid Identification Cardpdf26 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-10, Citizen/Alien Requirementspdf34 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-10, Citizen/Alien Requirementspdf37 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-11, Series # 3 Of Corrections, Additions, Deletions And/Or Updates, & Figures/Attachments Removalpdf31 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-11, Series # 3 Of Corrections, Additions, Deletions And/Or Updates, & Figures/Attachments Removalpdf36 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-12, Non-Emergency Medicaid Transportationpdf104 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-13, Changes Related To 2013 Cost-Of-Living Adjustment (COLA)pdf40 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-13, Indian Health Servicespdf22 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-14, HCWD Phase IIIpdf80 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-14, HCWD Phase IIIpdf23 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-15, Non-Emergency Medicaid Transportationpdf16 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-15, Non-Emergency Medicaid Transportationpdf16 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-16, Alien Requirementspdf81 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-16, Alien Requirementspdf142 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-17, HCWD Premiums And DDS Address Changepdf28 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-17, Medicaid/NCHC Income/Reserve Limit Chartspdf78 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-19, Enumerationpdf44 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-19, Enumerationpdf170 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-20, 2020 Federal Poverty Level (FPL) Changespdf108 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-20, 2020 Federal Poverty Level (FPL) Changespdf210 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-21, Breast and Cervical Cancer Medicaidpdf190 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-21, Changes Related To 2021 Cost-Of-Living Adjustment (COLA)pdf301 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-22, 2022 Federal Poverty Level Changespdf233 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-22, Reasonable Compatibility – Corrections and Additionspdf174 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-23, Reasonable Compatibilitypdf138 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-23, Reasonable Compatibilitypdf240 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-24, 2024 Pickle Amendmentpdf150 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 01-24, MA-3200, Applicationpdf360 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-02, Child Supportpdf25 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-03, Medicaid Id Cardspdf19 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-03, Recipient Fraud And Abuse Policypdf29 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-04, Elimination Of Parental Financial Responsibility For MPWpdf20 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-04, Passalongpdf16 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-05, Manual Cover Pagepdf14 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-05, Manual Cover Pagepdf10 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-06, Notice And Hearings Processpdf19 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-06, Notice And Hearings Processpdf32 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-07, Medicare Enrollment And Buy Inpdf33 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-07, Medicare Enrollment And Buy-Inpdf32 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-08, Expanded Foster Care Programpdf17 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-08, Passalongpdf18 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-09, LIS Resource Limitspdf23 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-09, New Medicare Premium And Deductiblespdf24 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-10, LIS Application For Medicaidpdf22 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-10, NCHC Citizenship And CCNC/CA Changespdf48 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-11, Long Term Care Partnership Programpdf35 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-11, Long Term Care Partnership Programpdf26 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-12, Excess Home Equity Limitpdf18 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-12, Various Changes For 1/1/12pdf60 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-13, Non Emergency Medical Transportation Policy Adjustmentspdf72 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-13, Non Emergency Medical Transportation Policy Adjustmentspdf70 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-14, FPL Income Limit Changespdf41 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-14, FPL Income Limit Changespdf51 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-15, FPL Income Limit Changespdf87 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-17, Medicaid/NCHC Income/Reserve Limit Chartspdf20 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-18, Community Spouse Resource Allowance And Low-Income Subsidypdf14 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-19, Aged, Blind, And Disabled Medicaid Table Of Contents And Non-Magi Medicaid Income/Reserve Limitspdf24 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-19, Breast And Cervical Cancer Medicaid (BCCM)pdf139 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-21, Adult Medicaid Table of Contentpdf224 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-21, Family and Children’s Medicaid Table of Contentspdf225 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-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 Limitspdf182 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-22, Money Follows The Personpdf336 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-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 pdf232 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-23, Modified Adjusted Gross Income Budgetingpdf239 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 02-24, Change in Circumstance, Terminations, and Reopeningpdf357 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-02, County Of Residence Of Children In Subsidized Adoptionspdf25 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-02, Fl-2 Processpdf14 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-03, Continuation Of Mad When Social Security Terminates Disabilitypdf24 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-03, NC Health Choice Freezepdf32 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-04, Labor & Delivery Authorization For Alienspdf17 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-04, Labor And Delivery For Alienspdf15 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-05, Medicare Buy-In & Requirement To Enroll In Medicare Part Bpdf18 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-05, Medicare Buy-In & Requirement To Enroll In Medicare Part Bpdf25 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-06, Medicare Prescription Drug Benefitpdf25 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-06, Medicare Rate Changespdf21 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-07, Medicare Rate Changespdf24 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-07, Spousal Protectionpdf34 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-08, Community Spouse Income Resource Protectionpdf18 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-08, F&C Medicaid And NCHCpdf35 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-09, FPL Income Limit Changespdf54 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-09, Passalongpdf18 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-10, Citizen/Alien Requirementspdf25 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-10, MQB Resource Changepdf19 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-11, Pregnancy Medical Homepdf35 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-11, Pregnancy Medical Homepdf41 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-12, Update Of Yearly Levelspdf22 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-13, FPL Income Limit Changespdf84 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-13, FPL Income Limit Changespdf84 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-15, Non-Emergency Medical Transportationpdf58 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-18, Health Coverage For Workers With Disabilities (HCWD) Premiumspdf25 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-18, Revision And Relocation Of Policy: Estate Recovery, Pregnant Woman Coverage, Auto Newborn & Community Alternatives Program (CAP)pdf15 MBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-19, Alliant Health Solutionspdf114 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-19, Family And Children’s Medicaid Table Of Contents And Twelve Months Transitional Medicaidpdf162 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-20, Community Alternative Program (CAP)pdf133 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-20, Community Alternative Program (CAP)pdf238 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-21, Disability pdf271 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-21, Reasonable Compatibilitypdf365 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-22, Money Follows The Personpdf336 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-22, Pregnant Woman Coveragepdf234 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-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) Policypdf256 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-23, Recertificationpdf285 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 03-24, Notice and Hearings Processpdf356 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-02, Real Property Contiguous To The Homesitepdf14 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-02, Reviewing Ongoing Eligibility At End Of Newborn Protectionpdf15 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-03, Application Processing, MA-3200, Initial Contactpdf45 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-03, Medicaid ID Cardspdf17 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-04, End Of Earned Income Disregardpdf16 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-04, Overrides For SSI Casespdf14 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-05, Case Mixpdf20 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-05, County Transferspdf22 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-06, Spousal Protectionpdf25 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-06, Twelve Months Transitional Medicaidpdf14 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-07, Passalongpdf18 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-08, 2008 LIS Updatespdf25 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-08, Citizenship And Identitypdf17 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-09, Community Spouse Resource Allowancepdf46 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-09, Confidentialitypdf22 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-10, Citizen/Alien Requirementspdf25 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-10, IV-D Sanctions For Non-Cooperationpdf24 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-11, FPL Income Limit Changespdf39 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-11, FPL Income Limit Changespdf54 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-12, Tax Refund Exclusionpdf19 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-13, Medicaid Suspension For Incarcerated Beneficiariespdf82 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-14, Community Spouse Resource Protectionpdf59 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-14, Spousal Impoverishment Standardspdf47 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-15, Non-Emergency Medical Transportationpdf57 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-17, Special Needs Trustpdf13 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-18, Transfer Of Assets, Home Equity Value And Low-Income Subsidy Limits/Resourcespdf115 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-19, 2019 Federal Poverty Level Changes (FPL) And Health Coverage For Workers With Disabilitiespdf127 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-19, Alliant Health Solutionspdf172 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-20, Living Arrangement – Amendedpdf284 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-20, Living Arrangement – Amendedpdf296 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-21, Beneficiary Fraud and Abuse Policy and Procedurespdf258 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-22, Non-Emergency Medical Transportation (NEMT)pdf351 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-22, Traumatic Brain Injury (TBI)pdf140 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-23, Medically Needy Recertificationpdf443 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 04-23, Medically Needy Recertificationpdf708 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-02, Child Supportpdf16 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-02, Confidentialitypdf13 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-03, Application Processing, MA-2300, Initial Contactpdf32 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-03, Application Processing, MA-3205, Conducting A Face-To-Face Interviewpdf33 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-04, Notice And Hearing Procedurespdf14 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-04, Notice And Hearingspdf16 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-05, County Transferspdf26 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-05, Re-Enrollmentpdf24 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-06, NCHC Move To Expanded Medicaidpdf34 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-06, Passalongpdf18 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-07, Citizenship & Identity Changespdf35 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-08, Program Of All-Inclusive Care For The Elderly (PACE)pdf34 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-08, Student Earned Income Exclusionpdf19 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-09, FPL Income Limit Changespdf57 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-09, Health Coverage For Workers With Disabilities Phase IIpdf18 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-10, Disproportionate Share Hospitals And Federally Qualified Health Centerspdf25 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-10, NCHC Mandatory Participation In CCNC/CApdf32 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-11, Recipient Fraud And Abuse Policy And Procedurespdf25 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-11, Recipient Fraud And Abuse Policy And Procedurespdf24 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-12, FPL Income Changespdf19 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-12, Various Changes For 03/01/12: SGA & Tax Refund Exclusionpdf25 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-13, Additions, Clarifications, Corrections, Deletions And/Or Updatespdf25 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-13, Medicaid Suspension For Incarcerated Beneficiariespdf87 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-14, Changes Related To 2015 Cost-Of-Living Adjustment (COLA)pdf58 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-14, Changes Related To 2015 Cost-Of-Living Adjustment (COLA)pdf90 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-17, Disabilitypdf95 KBadult-medicaid health-benefits-nc-medicaidchange-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 Chartpdf73 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-18, Changes Related To 2019 Cost-Of-Living Adjustment (COLA)pdf9 MBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-19, 2019 Federal Poverty Level Changes (FPL)pdf112 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-19, Notice and Hearings Processpdf212 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-20, Tribal Membership and American Indian Health Servicepdf273 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-21, 2021 Federal Poverty Level Changespdf237 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-21, 2021 Federal Poverty Level Changes and Low Income Subsidy (LIS) Income Limitspdf227 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-22, Non-Emergency Medical Transportation (NEMT)pdf249 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-23, Change in Circumstance, Terminations, and Reopeningpdf372 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 05-23, Modified Adjusted Gross Income (MAGI) Recertificationpdf546 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-02, Confidentialitypdf16 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-02, Extended Medicaidpdf86 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-03, Application Processing, Ma-2301, Conducting A Face-To-Face Intake Interviewpdf33 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-03, Application Processing, MA-3207, Receiving Mail-In Applicationspdf29 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-04, Kinship & Living Withpdf16 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-04, Transfers Of Resources In The Month Of Receiptpdf23 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-05, Medicaid Covered Servicespdf18 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-05, Redeterminationpdf20 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-06, Gaming Proceeds For Eastern Band Of Cherokee Nationpdf17 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-06, Notice And Hearings Processpdf18 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-07, Community Care Of North Carolina/Carolina Accesspdf27 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-07, Part D Prescription Drug Benefits And LISpdf21 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-08, Citizenship And Identitypdf20 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-08, NC EITC And Temporary Census Worker Incomepdf100 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-09, Confidentialitypdf22 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-09, Iraqi/Afghan Special Refugeespdf19 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-10, Citizen/Alien Requirementspdf69 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-10, Passalong And MWD Reservepdf20 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-11, Incompetency Policypdf18 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-12, FPL Income Limit Changespdf25 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-13, Additions, Clarifications, Corrections, Deletions And/Or Updatespdf29 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-13, Certification Periodspdf20 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-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)pdf557 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-18, Qualified Medicare Beneficiaries (MQB-Q, MQB-B & MQB-E), Community Alternatives Program (CAP) And Estate Recoverypdf12 MBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-19, Notice and Hearings Process, and Twelve Month Transitional Medicaidpdf217 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-20, Tribal Membership and American Indian Health Servicepdf371 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-21, Beneficiary Fraud and Abuse Policy and Procedurespdf278 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-22, Disabilitypdf427 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-23, 2023 Pickle Amendmentpdf141 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 06-23, Change of Circumstance, Terminations, and Reopeningpdf191 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-01, Definition of Name and Related Changespdf20 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-02, Four Months Transitional Medicaidpdf19 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-02, Terminations/Deletionspdf16 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-03, Application Processing, Ma-2303, Verification Requirements For Applicationspdf34 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-03, Application Processing, Ma-3210, Verification Requirements For Applicationspdf34 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-04, Certification & Authorizationpdf16 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-04, Verifying Job Bonus Earnings & Treatment Of Severance Paypdf23 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-05, Medicaid Covered Servicespdf18 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-05, NCHC Classification Changespdf20 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-06, Child Supportpdf34 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-06, Community Alternatives Program (CAP) Deductiblepdf16 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-07, Breast And Cervical Cancer Medicaidpdf18 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-07, Citizenship & Identity Changespdf24 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-08, FPL Income Limit Changespdf60 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-08, Program Of All Inclusive Care For The Elderly (PACE)pdf68 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-09, Health Coverage For Workers With Disabilities Phase IIpdf45 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-10, IV-D Sanctions For Non-Cooperationpdf24 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-10, NC Health Choicepdf19 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-11, 2011 Medicare Deductible, Co-Insurance, Medicaid ICF/MR, Hospice Ratespdf31 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-11, Community Spouse Resource Protectionpdf20 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-12, Emergency Medical Review Contractor Updatepdf19 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-13, Certification Periodspdf17 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-13, Community Spouse Resource Protectionpdf18 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-15, Spousal Impoverishment Standardspdf12 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-18, Notice And Hearings Processpdf159 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-19, Breast And Cervical Cancer Medicaid (BCCM)pdf64 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-21, Program of All-Inclusive Care for the Elderly (PACE) – Amendedpdf73 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-21, Program of All-Inclusive Care for the Elderly (PACE) Amendedpdf62 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-22, Changes Related To 2023 Cost-Of-Living Adjustment (COLA)pdf370 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-23, Reasonable Compatibilitypdf242 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 07-23, Traumatic Brain Injurypdf166 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-01, Resources Owned by Incompetent Individualspdf22 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-02, Family & Children’s Incomepdf46 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-02, Transfer Of Resources And Homesitepdf29 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-03, Application Processing, MA-2304, Processing The Applicationpdf56 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-03, Application Processing, MA-3215, Processing The Applicationpdf51 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-04, Immigrant Access Noticepdf26 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-04, Treatment Of Severance Paypdf15 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-05, BCCM Monthly Reportspdf21 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-05, CAPpdf42 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-06, Notice And Hearings Processpdf18 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-06, Poverty Income Limitspdf52 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-07, Community Care Of North Carolina/Carolina Accesspdf24 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-07, Poverty Income Limitspdf57 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-08, Exclusion Of Days For More Time Or For The NCHC Enrollment Feepdf28 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-08, NC EITC And Temporary Census Worker Incomepdf22 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-09, Iraqi/Afghan Special Refugeespdf19 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-09, Office Of Civil Rights (OCR) Policy Verbiage Changespdf20 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-10, Disproportionate Share Hospitals And Federally Qualified Health Centerspdf24 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-10, US Citizenship Requirements/Alien Requirementspdf32 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-11, 2011 Medicare Deductible And Co-Insurance Ratespdf23 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-11, MQB Family Size Budgetingpdf18 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-12, Medicaid Identification Cardpdf18 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-13, Spousal Impoverishment Standardspdf20 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-18, Evaluating Local Agency/ DDS Performances, & Application Processing-Corrective Action Procedurespdf2 MBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-21, Alien Requirementspdf266 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-21, Alien Requirementspdf320 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-23, Estate Recoverypdf177 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 08-23, Estate Recoverypdf259 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 09-02, F&C Budgeting And Ex Parte Reviewspdf18 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 09-02, Spousal Resource And Income Protectionpdf42 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 09-03, Application Processing, MA-2305, Evaluating County/DDS Performancepdf41 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 09-03, Application Processing, Ma-3217, Evaluating County/DDS Performancepdf41 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 09-04, Immigrant Access Noticepdf25 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 09-04, NC Health Choice Copaymentspdf42 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 09-05, County Residence And Medicare Enrollment & Buy-Inpdf20 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 09-05, Re-Enrollment & Buy-Inpdf22 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 09-06, Change In Mr-2 Review Processpdf16 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 09-07, Classification And Evaluationpdf18 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 09-08, Medicaid Deductiblespdf19 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 09-08, United States Citizenship And Immigration Services (USCIS)pdf23 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 09-09, Office Of Civil Rights (OCR) Policy Verbiage Changespdf20 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 09-10, Community Alternative Program (CAP)pdf23 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 09-10, MQB Resource Limitspdf17 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 09-11, Figures/Attachments Removalpdf33 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 09-11, Figures/Attachments Removalpdf32 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 09-12, Managed Care Organizations For Behavioral Health (MCO)pdf24 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 09-12, Medicaid Identification Cardpdf17 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 09-15, Disability Determination Services (DDS) Medicaid Unit Contact Informationpdf67 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 09-18, Notice And Hearings Processpdf99 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 09-18, Removal Of Policy From The Integrated Manual (IEM) To The Family & Children’s Manualpdf377 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 09-21, Tribal Membership and American Indian Health Services (IHS)pdf136 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 09-21, Tribal Membership and American Indian Health Services (IHS)pdf236 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 09-23, State Residencypdf253 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 09-23, State Residencypdf356 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-01, Poverty Level Income Limitspdf52 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-02, Breast & Cervical Cancer Medicaidpdf38 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-02, Use Of Social Security Numberspdf22 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-03, Application Processingpdf68 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-03, Application Processingpdf68 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-04, Change In Situation When Social Security Deniedpdf16 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-04, Medicare Part A And B Amount Changespdf17 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-05, Medicare Rate Changespdf21 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-05, Notice & Hearingspdf27 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-06, Poverty Income Limitspdf55 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-06, State Residencepdf22 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-07, Poverty Income Levelspdf53 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-07, Resources – Change In Situationpdf15 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-08, Affidavit Of Parentagepdf22 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-08, FPL Income Limit Changespdf55 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-09, Citizenship For Medicaid Verified Birthpdf20 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-09, Minimum Community Spouse Income Allowancepdf22 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-10, Citizen/Alien Requirementspdf66 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-10, Military Locator Information, Railroad Retirement Benefits And Veteran’s Benefits Verificationpdf22 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-11, CCNC/CA Mandatory Enrollment Of SAA Recipients & Figures/Attachments Removalpdf21 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-11, RSDI/SSI Disability & Figures/Attachments Removalpdf25 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-12, Managed Care Organizations For Behavioral Health (MCO)pdf25 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-12, Transfer Of Assetspdf18 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-13, Changes Related To 2014 Cost-Of-Living Adjustment (COLA)pdf69 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-18, Change Notice For Manual No. 10-18, Incomepdf29 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-19, Low Income Subsidy Income Limitspdf22 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-21, Family Planning Programpdf258 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-21, Family Planning Programpdf258 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-23, edicare Enrollment & Buy-Inpdf252 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 10-23, Medicare Enrollment & Buy-Inpdf350 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-01, Medicaid Terminationspdf17 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-02, Disability Determinationspdf27 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-02, NCHC Waiting Period & Enumerationpdf46 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-03, Application Processing, MA-2306, Corrective Action Procedurespdf32 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-03, Application Processing, Ma-3225, Corrective Action Procedurespdf33 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-04, Four Months Transitional Medicaidpdf21 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-04, Spousal Protectionpdf37 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-05, CAPpdf32 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-05, Spousal Protectionpdf40 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-06, Child Supportpdf32 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-06, Community Care Of North Carolina/Carolina Accesspdf15 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-07, Living Allowance For Ineligible Child/Ineligible Spousepdf15 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-07, Medicaid Family Planning Waiver Freezepdf17 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-08, Exclusion Of Days For More Time Or For The NCHC Enrollment Feepdf24 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-08, Recipient Fraud And Abuse Policy And Procedurespdf30 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-09, Citizenship For Medicaid Verified Birthpdf19 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-09, Eligibility Of Individuals Under Age 21pdf21 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-10, Series # 1 Of Corrections, Additions, Deletions And/Or Updatespdf29 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-10, US Citizenship Requirements/Alien Requirementspdf25 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-11, DVA Assistance With Veteran’s Benefitspdf18 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-11, DVA Assistance With Veteran’s Benefitspdf19 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-12, IV-E Adoption Assistance And Foster Care Paymentspdf17 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-12, Program Of All-Inclusive Care For The Elderly (Pace)pdf16 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-13, Changes Related To 2014 Cost-Of-Living Adjustment (COLA)pdf23 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-18, Inquiry, Discouragement, Application & Outstationspdf246 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-18, Removal Of Policy From The Integrated Manual (IEM) To The Adult Manualpdf99 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-19, Introduction To Medicaidpdf157 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-21, Changes Related To 2022 Cost-Of-Living Adjustment (COLA)pdf222 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-21, Reasonable Compatibilitypdf345 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-23, Security of Internal Revenue Service (IRS) and Social Security Administration (SSA) Data Informationpdf190 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 11-23, Security of Internal Revenue Service (IRS) and Social Security Administration (SSA) Data Informationpdf370 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 12-01, Medicaid Terminationspdf18 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 12-02, Children With Protected Disability Statuspdf22 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 12-03, Impairment Related Work Expenses & In-Kind Incomepdf23 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 12-03, Noticespdf40 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 12-04, BCIS Address Changepdf18 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 12-04, BCIS Address Changepdf17 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 12-05, Medicaid Working Disabledpdf17 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 12-05, Notice & Hearingspdf20 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 12-06, Spousal Income Protectionpdf22 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 12-06, SSI Medicaidpdf17 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 12-07, Spousal Income Protectionpdf32 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 12-08, Application Addendum Medicaid Family Planning Waiver (FPW) Programpdf19 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 12-08, United States Citizenship And Immigration Services (USCIS)pdf23 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 12-09, Auto Newborn, Family Planning Waiver, Special Needs Children, HCWD Phase IIpdf34 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 12-09, County Residencepdf19 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 12-10, Community Alternative Program (CAP)pdf36 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 12-10, Medicaid Identification Cardpdf17 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 12-11, CCNC/CA Mandatory Enrollment Of SAA Recipients & Figures/Attachments Removalpdf22 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 12-11, Simplification Of Re-Enrollment For MIC/NCHCpdf33 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 12-12, NEMT Policy Adjustmentspdf24 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-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 Manualpdf225 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 12-18, Removal Of Non-Emergency Medical Transportation (NEMT) From The Integrated Eligibility Manual (IEM) To The Adult Manualpdf98 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 12-21, Reasonable Compatibilitypdf245 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 12-23, Automated Inquiry and Match Procedurespdf175 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 12-23, Automated Inquiry and Match Procedurespdf176 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 13-01, Terminations and Pregant Woman Coveragepdf23 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 13-02, Enumeration In NC Health Choicepdf17 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 13-03, Application Processingpdf46 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 13-03, NC Health Choicepdf18 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 13-04, Savepdf24 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 13-04, Savepdf24 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 13-05, Automated Inquiry And Match Procedurespdf22 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 13-05, Automated Inquiry And Match Procedurespdf22 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 13-06, Citizenship & Identitypdf75 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 13-07, Community Alternatives Program (CAP) Medicaid Eligibilitypdf16 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 13-07, Medicaid Covered Servicespdf28 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-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 Reviewpdf29 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 13-09, Community Care Of North Carolina/Carolina Accesspdf40 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 13-10, Community Care Of North Carolina/Carolina Access New Codespdf21 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 13-10, Military Locator Information, Railroad Retirement Benefits And Veteran’s Benefits Verificationpdf21 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 13-11, Correction Of Reserve Limit Errorpdf16 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 13-11, F&C Manual Sections Impacted By Simplification Of Re-Enrollment For MIC/NCHCpdf33 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 13-12, Veteran Benefit Verificationpdf22 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 13-18, Alien Requirements, Family Planning Program, Post Eligibility Verification & Managed Carepdf233 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 13-18, Inquiry, Discouragement, Application & Outstationspdf115 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 13-19, Changes Related To 2020 Cost-Of-Living Adjustment (COLA)pdf266 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 13-19, Modified Adjusted Gross Income (MAGI) Countable Income, Non-Countable Income, and Budgetingpdf79 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 13-21, 2022 Pickle Amendment and Nursing Facility Ratespdf176 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 13-23, 2024 Change Related to 2024 Cost-of Living Adjustment (COLA)pdf292 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 13-23, Medicaid Expansionpdf352 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 14-01, Children in PRTFspdf21 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 14-02, Re-Enrollmentspdf21 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 14-03, Parental Financial Responsibility In MPWpdf36 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 14-04, Poverty Level Income Limitspdf49 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 14-04, Poverty Level Income Limitspdf50 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 14-05, Passalongpdf18 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 14-05, Poverty Level Income Limitspdf51 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 14-06, Medicaid Identification Cardpdf14 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 14-06, State Residencepdf24 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 14-07, Community Care Of North Carolina/Carolina Accesspdf22 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 14-08, Affidavit Of Parentagepdf22 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 14-08, CCNC/CApdf27 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 14-09, Citizenship & Identity For Auto Newbornspdf19 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 14-09, Medicaid Identification Cardpdf28 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 14-10, Estate Recoverypdf23 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 14-10, Series # 1 Of Corrections, Additions, Deletions And/Or Updatespdf30 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 14-11, Medicaid Covered Servicespdf28 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 14-11, Minimum Community Spouse Income Allowancepdf21 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 14-12, Minimum Community Spouse Income Allowancepdf22 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 14-18, Alien Requirements, Family Planning Program, Post Eligibility Verification & Managed Carepdf103 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 14-23, 2024 Change Related to 2024 Cost-of Living Adjustment (COLA)pdf266 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 14-23, Recertificationpdf164 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 15-02, New Family And Children’s Medicaid Manualpdf29 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 15-03, Transfer Of Resources And In-Home Health Servicespdf40 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 15-04, Disability Procedurespdf27 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 15-05, Poverty Level Income Limitspdf54 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 15-05, Third Party Recoverypdf25 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 15-06, Medicaid Transportationpdf35 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 15-06, Motor Vehicle Exclusionpdf20 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 15-07, Citizen/Alien Requirementspdf31 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 15-07, Medicare Enrollment And Buy-Inpdf21 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 15-08, Transfer Of Assets Clarificationpdf26 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 15-09, Community Care Of North Carolina/Carolina Accesspdf40 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 15-10, Health Insurance Premium Paymentpdf16 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 15-10, Medicaid Identification Cardpdf16 KBadult-medicaid health-benefits-nc-medicaidchange-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)pdf27 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 15-11, Series # 5 Of Corrections, Additions, Deletions And/Or Updates, & Figures/Attachments Removalpdf116 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 15-12, Acceptance Of Fax Applicationspdf20 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 15-12, Emergency Medical Review Contractor Updatepdf21 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 15-19, Community Alternatives Program (CAP)pdf186 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 15-19, Former Foster Care Program (MFC) and Expanded Foster Care Program (EFCP)pdf4 MBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 15-23, MAGI Adult Medicaid Expansionpdf354 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 15-23, Medically Needy Recertificationpdf164 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 16-02, Poverty Level Income Limitspdf49 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 16-03, Poverty Level Income Limitspdf50 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 16-04, Mandatory Outstationspdf16 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 16-05, Blindness M-SMpdf29 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 16-05, Medicaid Identification Cardpdf22 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 16-06, Community Care Of North Carolina/Carolina Accesspdf67 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 16-06, Re-Enrollmentpdf15 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 16-07, Expanded Foster Care Programpdf100 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 16-07, Redetermination Of Eligibilitypdf16 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 16-08, Community Alternative Program (CAP) Medicaid Eligibilitypdf21 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 16-08, Recipient Fraud And Abuse Policy And Procedurespdf32 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 16-09, Medicaid Identification Cardpdf38 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 16-10, Change # 2 In A Series Of Corrections, Additions, Deletions And/Or Updatespdf29 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 16-10, Community Care Of North Carolina/Carolina Access New Codespdf22 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 16-11, Medicaid Covered Servicespdf28 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 16-11, NCHC Transitionpdf28 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 16-12, NEMT Policy Adjustmentspdf21 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 16-23, Medically Needy Recertificationpdf371 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 17-02, PRTF Changespdf30 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 17-03, Third Party Recoverypdf19 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 17-04, FRRpdf10 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 17-04, FRRpdf10 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 17-05, Covered Services Updatepdf24 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 17-06, Medicaid Family Planning Waiverpdf20 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 17-06, SSI Medicaidpdf18 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 17-07, DRA Transfer Of Assetspdf102 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 17-07, Medicaid Covered Servicespdf28 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 17-08, Community Spouse Income Allowancepdf24 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 17-08, Health Coverage For Workers With Disabilitiespdf31 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 17-09, HCWD Phase IIpdf26 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 17-10, DSH And FQHC Locationspdf30 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 17-10, Estate Recoverypdf24 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 17-11, Authorized Representativepdf33 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 17-11, Series # 5 Of Corrections, Additions, Deletions And/Or Updates, & Figures/Attachments Removalpdf193 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 17-12, Veteran Benefit Verificationpdf24 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 17-19, Community Alternatives Program (CAP)pdf185 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 17-23, MAGI Recertificationpdf363 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 18-02, SSI Terminationspdf19 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 18-03, State Residencepdf19 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 18-04, State Residencepdf17 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 18-04, State Residencepdf17 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 18-05, Medicaid Family Planning Waiverpdf35 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 18-06, Covered Servicespdf24 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 18-07, Community Care Of North Carolina/Carolina Accesspdf22 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 18-07, Resourcespdf67 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 18-08, Disabilitypdf22 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 18-08, Reimbursement For Transportation To Mental Health/Substance Abuse Servicespdf19 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 18-09, Life Expectancy Tablepdf18 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 18-10, For Standard Utility Allowance And HIPPpdf20 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 18-11, Alien Emergency Service Reviews And Pregnancy Home Updatespdf24 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 18-11, Authorized Representativepdf32 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 19-03, Citizenship/Alien Requirements And Sponsor Deemingpdf46 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 19-03, Poverty Level Income Limitspdf88 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 19-04, Reopening Emergency Applicationspdf18 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 19-04, Reopening Emergency Applicationspdf18 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 19-05, Medicaid Identification Cardpdf22 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 19-05, Medicaid Transportationpdf18 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 19-06, Citizenship & Identitypdf75 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 19-06, Enumeration Procedurespdf30 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 19-07, Citizen/Alien Requirementspdf30 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 19-07, Expanded Foster Care Program Clarificationpdf25 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-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 Reviewpdf28 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 19-09, Transfer Of Assetspdf17 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 19-10, Third Party Resourcespdf39 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 19-10, Transfer Of Assetspdf19 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 19-11, Alien Emergency Service Reviews And Pregnancy Medical Home Updatespdf21 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 19-11, Community Care Of North Carolina/Carolina Accesspdf30 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 19-12, Acceptance Of Fax Applicationspdf19 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 20-03, Caretaker Relativepdf16 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 20-03, Revised DMA-5028, Authorization To Disclose Informationpdf69 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 20-05, Covered Services Updatepdf24 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 20-05, Medicaid Family Planning Waiver Changespdf44 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 20-06, Health Check/Health Choice Re-Enrollment Applicationpdf30 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 20-06, Medicaid Identificaton Cardpdf18 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 20-07, Long Term Care Need And Budgetingpdf69 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 20-08, CCNC/CApdf27 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 20-10, Change # 2 In A Series Of Corrections, Additions, Deletions And/Or Updatespdf31 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 20-11, Community Care Of North Carolina/Carolina Accesspdf30 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 21-03, Definitionspdf16 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 21-03, Third Party Recoverypdf68 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 21-05, Medicare Part D Low Income Subsidypdf33 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 21-06, Medicare Prescription Drug Benefitpdf33 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 22-03, Transfer Of Resources Trackingpdf76 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 22-05, Medicaid Family Planning Waiverpdf28 KBadult-medicaid health-benefits-nc-medicaidchange-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 Checkpdf29 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 22-06, Medicaid Transportationpdf35 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 22-07, Incomepdf58 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 22-08, Financial Resourcespdf14 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 22-10, DSH And FQHC Locationspdf30 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 23-03, State Residencepdf67 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 23-05, Medicaid Transportationpdf18 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 23-05, SSI Medicaidpdf29 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 23-06, Covered Servicespdf24 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 23-07, Expanded Foster Care Programpdf13 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 23-08, Community Alternative Program (CAP) Medicaid Eligibilitypdf25 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 24-05, Mail-In Application Sign For DSS Lobbypdf16 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 24-05, Medicaid Family Planning Waiver Changespdf32 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 24-06, Enumeration Procedurespdf26 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 24-07, DRA Transfer Of Assetspdf66 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 24-08, Health Coverage For Workers With Disabilitiespdf62 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 24-10, Third Party Resourcespdf36 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 25-05, Initial Contactpdf17 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 25-05, NC Health Choicepdf17 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 25-07, DRA Transfer Of Assetspdf109 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 25-08, Reimbursement For Transportation To Mental Health/Substance Abuse Servicespdf17 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 25-10, CAP/Choicepdf18 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 26-05, EPSDT Informationpdf19 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-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 Applicationpdf29 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 26-07, Financial Resources Technical Correctionspdf24 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 26-10, Home Equity Valuepdf21 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 27-05, CAP-MR/DD Determination Process Changespdf16 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 27-05, SSI Medicaidpdf24 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 28-05, SSI Medicaid – County DSS Responsibilitypdf37 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 29-05, SSI Medicaid – Automated Processpdf31 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 30-05, Mail-In Application Sign For DSS Lobbypdf18 KBadult-medicaid health-benefits-nc-medicaidchange-notice
CHANGE NOTICE FOR MANUAL NO. 31-05, EPSDT Informationpdf16 KBadult-medicaid health-benefits-nc-medicaidchange-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)pdf112 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 01-19, Extension of Eligibility at Recertificationpdf202 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 01-20, Attachment 1 – DHB Self Attestation – Obsoletepdf222 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 01-20, Attachment 2 – ZixMail Instructions for State Appeals – Obsoletepdf411 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 01-20, Medicaid/NCHC Procedures for COVID-19 – Obsoletepdf377 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 01-20, Medicaid/NCHC Procedures for COVID-19, Addendum 1 – Obsoletepdf333 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 01-21, Social Security and VA Cost-of-Living Adjustment (Amended)pdf301 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 01-22, Emergency Rental Assistance (ERA)pdf378 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 01-23, Changes in Income During Base Period for Modified Adjusted Gross Income (MAGI) Applications and Recertificationspdf389 KBadult-medicaid health-benefits-nc-medicaidadministrative-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 Waiverpdf402 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 02-20, Child Support Guidance Eligibility Verificationpdf134 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 02-21, NC Health Choice (NCHC) Beneficiary at the Age of 19 Procedures and Reports – Obsoletepdf228 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 02-22, Application Procedures – Authorized Representatives; Social Security Numbers; DMA-5001 Form  OBSOLETEpdf530 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 02-23, Medicaid Procedures for COVID-19 – Change to Dually Eligible Procedurespdf250 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 03-19, Hawkins V. Cohen Procedure – Obsoletepdf272 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 03-21, AMENDED 2: Medicaid/NCHC Procedures for COVID-19 – Unemployment Income, Stimulus Funds/Transfer of Assets OBSOLETEpdf452 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 03-21, AMENDED: Medicaid/NCHC Procedures for COVID-19 – Unemployment Income, Stimulus Funds/Transfer of Assets – Obsoletepdf449 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 03-21, Medicaid/NCHC Procedures for COVID-19 – Unemployment Income, Stimulus Funds/Transfer of Assets Obsoletepdf441 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 03-22, Hearings and Appeals – Remote Hearingspdf194 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 03-23, Medicaid Procedures for Asset Verification System (AVS) During the Continuous Coverage Unwinding (CCU) Periodpdf734 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 04-19, Medicaid Verification Reportspdf68 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 04-20, 2020 Spousal Impoverishment Standardspdf275 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 04-21, 2021 Spousal Impoverishment Standardspdf276 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 04-22, Automated Notices, DSS-8109 Formpdf458 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 04-23, Medicaid Procedures Using Supplemental Nutrition Assistance Program (SNAP) Income During the Continuous Coverage Unwinding (CCU) Periodpdf347 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 05-19, Spousal Impoverishment Standardspdf17 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 05-20, Medicaid/NC Health Choice Recertification Procedures for COVID-19 – Obsoletepdf555 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 05-21, AMENDED 2, Medicaid/NCHC Procedures for COVID-19 – Allowable Program Changes and Terminations – OBSOLETEpdf271 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 05-21, AMENDED, Medicaid/NCHC Procedures for COVID-19 – Allowable Program Changes and Terminations (Amended) Obsoletepdf625 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 05-21, Medicaid/NCHC Procedures for COVID-19 – Allowable Program Changes and Terminations Obsoletepdf624 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 05-22, Spousal Impoverishment Standardspdf140 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 05-23, United States Postal Services (USPS) National Change of Address (NCOA) and United States Postal Services Returned Mailpdf269 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 06-19, ADDENDUM 1, Medicaid Procedures for Hurricane Dorianpdf228 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 06-19, ADDENDUM 1, Medicaid Procedures for Hurricane Dorian – Obsoletepdf228 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 06-20, Attachment – DHB Self-Attestationpdf240 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 06-20, Medicaid/NCHC Procedures for COVID-19, Self- Attestation and Reports OBSOLETEpdf348 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 06-21, AMENDED, Medicaid Procedures for COVID-19 – Increasing PMLS (Amended) OBSOLETEpdf465 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 06-21, Medicaid Procedures for COVID-19 – Increasing PMLS OBSOLETEpdf466 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 06-23, Continuous Coverage Unwinding (CCU) Period after COVID-19 Public Health Emergency (PHE): Medicaid Procedures – Amended 2pdf468 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 06-23, Continuous Coverage Unwinding (CCU) Period after COVID-19 Public Health Emergency (PHE): Medicaid Procedures – Amended Obsoletepdf567 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 06-23, Continuous Coverage Unwinding (CCU) Period after COVID-19 Public Health Emergency (PHE): Medicaid Procedures Obsoletepdf537 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 06-23, DHB -DSS 8110 DESK REFERENCE TOOLpdf681 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 06-23, Self-Attestation Attachmentpdf346 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 06-23, Self-Attestation Attachmentpdf346 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 07-20, Attachment – ZixMail Instructions for State Appealspdf428 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 07-20, Medicaid/NCHC Procedures for COVID-19 – Amended 2 ? OBSOLETEpdf309 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 07-20, Medicaid/NCHC Procedures for COVID-19 – Amended Obsoletepdf333 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 07-21, AMENDED 2, Medicaid/NC Health Choice Application/Recertification/Change of Circumstance Procedures for COVID-19 – Amended 2 OBSOLETEpdf679 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 07-21, AMENDED, Medicaid/NC Health Choice Application/Recertification/Change of Circumstance Procedures for COVID-19 OBSOLETEpdf675 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 07-21, Attachment: NC FAST Batch Exclusion Templatexlsx16 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 07-21, Medicaid/NC Health Choice Recertification Procedures for COVID-19 Obsoletepdf603 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 07-22, Ukrainian Immigrants and Parolees – Amended 2 OBSOLETEpdf242 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 07-22, Ukrainian Immigrants and Parolees – Amended 3pdf500 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 07-22, Ukrainian Immigrants and Parolees OBSOLETEpdf376 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 07-22, Ukrainian Immigrants and Parolees- Amended OBSOLETEpdf478 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 07-23, Medicaid for COVID-19 Testing Group – Applicationspdf344 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 08-20, Procedures for MAGI Deductionspdf244 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 08-21, Afghan Special Immigrants and Paroleespdf381 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 08-22, Application Procedures for Authorized Representatives and Complete/Incomplete Applications – Amendedpdf715 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 08-22, Application Procedures for Authorized Representatives and Complete/Incomplete Applications OBSOLETEpdf563 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 08-23, 2023 Spousal Impoverishmentpdf144 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 09-20, Medicaid/NC Health Choice Recertification Procedures for COVID-19 – Amended – Obsoletepdf617 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 09-20, Medicaid/NC Health Choice Recertification Procedures for COVID-19 – Amended 2 -Obsoletepdf384 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 09-20, Medicaid/NC Health Choice Recertification Procedures for COVID-19 – Obsoletepdf532 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 09-21, Deferred Enforced Departure for Hong Kong Residentspdf263 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 09-22, Modified Adjusted Gross Income (MAGI) Recertification Procedures and Voice Signaturepdf457 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 09-23, Retroactive and Ongoing Dually Eligible Applicants/Beneficiaries – Medical Expensespdf472 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 10-20, Extended Limits of Confinement for Inmate Release Procedures for COVID-19 OBSOLETEpdf343 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 10-21, Social Security and VA Cost-of-Living Adjustmentpdf280 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 10-22, North Carolina Health Choice (NCHC) Pregnant Applicants/Beneficiaries Who Report Pregnancypdf137 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 10-23, Health Coverage for Workers with Disabilities – Updated Procedurespdf491 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 11-20, Medicaid COVID-19 Optional Testing Group – OBSOLETEpdf291 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 11-22, 2023 Social Security And VA Cost-Of-Living Adjustment (COLA)pdf254 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 11-23, Request for NC Innovations Waiver Action Indicator Action Neededpdf309 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 12-20, Program of All-Inclusive Care for the Elderly (PACE)Voluntary/Involuntary Disenrollmentpdf243 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 12-22, Prepaid Health Plan (PHP) Notification Of Nursing Facility Level Of Care  Formpdf180 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 12-23, Medicaid Procedures for Requesting Corrections – DSS Support Unitpdf567 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO: 13-23, Child Support Cooperation and Applying for Other Monetary Benefits Post Eligibility During the Continuous Coverage Unwinding (CCU) Periodpdf314 KBadult-medicaid health-benefits-nc-medicaidadministrative-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)pdf220 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 01-20, ADDENDUM 1, Medicaid/NCHC Procedures for COVID-19 – Obsoletepdf357 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 01-20, Attachment 1 -DHB Self Attestation – Obsoletepdf222 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 01-20, Attachment 2 – ZixMail Instructions for State Appeals – Obsoletepdf411 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 01-20, Medicaid/NCHC Procedures for COVID-19 – Obsoletepdf377 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 01-21, AMENDED, Social Security and VA Cost-of-Living Adjustmentpdf301 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 01-22, Emergency Rental Assistance (ERA)pdf378 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 01-23, Changes in Income During Base Period for Modified Adjusted Gross Income (MAGI) Applications and Recertificationspdf389 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-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 WAIVERpdf402 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 02-20, Child Support Guidance Eligibility Verificationpdf134 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 02-22, Application Procedures – Authorized Representatives; Social Security Numbers; DMA-5001 Form Obsolete – OBSOLETEpdf530 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 02-23, Medicaid Procedures for COVID-19 – Change to Dually Eligible Procedurespdf250 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 03-21, AMENDED 2, Medicaid/NCHC Procedures for COVID-19 – Unemployment Income, Stimulus Funds/Transfer of Assets – Obsoletepdf452 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 03-21, AMENDED, Medicaid/NCHC Procedures for COVID-19 – Unemployment Income, Stimulus Funds/Transfer of Assets – Obsoletepdf449 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 03-21, Medicaid/NCHC Procedures for COVID-19 – Unemployment Income, Stimulus Funds/Transfer of Assets – Obsoletepdf441 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 03-22, Hearings and Appeals – Remote Hearingspdf194 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 03-23, Medicaid Procedures for Asset Verification System (AVS) During the Continuous Coverage Unwinding (CCU) Periodpdf734 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 04-20, 2020 Spousal Impoverishmentpdf275 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 04-21, 2021 Spousal Impoverishment Standardspdf276 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 04-22, Automated Notices, DSS-8109 Formpdf458 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 04-23, Medicaid Procedures Using Supplemental Nutrition Assistance Program (SNAP) Income During the Continuous Coverage Unwinding (CCU) Periodpdf347 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 05-20, Medicaid/NC Health Choice Recertification Procedures for COVID-19 – Obsoletepdf555 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 05-21, AMENDED, Medicaid/NCHC Procedures for COVID-19 – Allowable Program Changes and Terminations – Obsoletepdf625 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 05-21, Medicaid/NCHC Procedures for COVID-19 – Allowable Program Changes and Terminations – Amended 2 OBSOLETEpdf271 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 05-21, Medicaid/NCHC Procedures for COVID-19 – Allowable Program Changes and Terminations – Obsoletepdf624 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 05-22, 2022 Spousal Impoverishment Standardspdf140 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 05-23, United States Postal Services (USPS) National Change of Address (NCOA) and United States Postal Services Returned Mailpdf269 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 06-20, Medicaid/NC Health Choice Procedures for COVID-19 , Self-Attestation and Reports – OBSOLETEpdf348 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 06-21, AMENDED, Medicaid Procedures for COVID-19 – Increasing PMLS (Amended) OBSOLETEpdf465 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 06-23, AMENDED 2, Continuous Coverage Unwinding (CCU) Period After COVID-19 Public Health Emergency (PHE): Medicaid Procedurespdf468 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 06-23, AMENDED, Continuous Coverage Unwinding (CCU) Period after COVID-19 Public Health Emergency (PHE): Medicaid Procedures – Obsoletepdf567 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 06-23, Continuous Coverage Unwinding (CCU) Period after COVID-19 Public Health Emergency (PHE): Medicaid Procedures – Obsoletepdf279 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 06-23, DHB-DSS 8110 DESK REFERENCE TOOLpdf681 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 06-23, Self-Attestation Attachmentpdf346 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 06-23, Self-Attestation Attachmentpdf346 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 07-20, AMENDED 2, Medicaid/NC Health Choice Procedures for COVID-19 – Obsoletepdf333 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 07-20, AMENDED 2, Medicaid/NC Health Choice Procedures for COVID-19 – OBSOLETEpdf309 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 07-20, Attachment – ZixMail Instructions for State Appealspdf428 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 07-21, AMENDED 2, Medicaid/NC Health Choice Application/Recertification/Change of Circumstance Procedures for COVID-19 – Amended 2 OBSOLETEpdf679 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 07-21, AMENDED, Medicaid/NC Health Choice Application/Recertification/Change of Circumstance Procedures for COVID-19 – Amended OBSOLETEpdf675 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 07-21, Attachment: NC FAST COVID Batch Exclusion Templatexlsx16 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 07-21, Medicaid Procedures for COVID-19 – Increasing PMLS OBSOLETEpdf466 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 07-21, Medicaid/NC Health Choice Recertification Procedures for COVID-19 Obsoletepdf603 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 07-22, AMENDED 2, Ukrainian Immigrants and Parolees – OBSOLETEpdf242 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 07-22, AMENDED 3, Ukrainian Immigrants and Paroleespdf500 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 07-22, AMENDED, Ukrainian Immigrants and Parolees – OBSOLETEpdf478 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 07-22, Ukrainian Immigrants and Parolee – OBSOLETEpdf376 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 07-23, Medicaid for COVID-19 Testing Group – Applicationspdf344 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 08-20, Procedures for MAGI Deductionspdf244 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 08-21, Afghan Special Immigrants and Paroleespdf381 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 08-22, AMENDED, Application Procedures for Authorized Representatives and Complete/Incomplete Applicationspdf715 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 08-22, Application Procedures for Authorized Representatives and Complete/Incomplete Applications – OBSOLETEpdf563 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 08-23, 2023 Spousal Impoverishmentpdf144 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 09-20, AMENDED 2, Medicaid/NC Health Choice Recertification Procedures for COVID-19 – Obsoletepdf384 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 09-20, AMENDED, Medicaid/NC Health Choice Recertification Procedures for COVID-19 – Obsoletepdf617 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 09-20, Medicaid/NC Health Choice Recertification Procedures for COVID-19 – Obsoletepdf532 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 09-21, Deferred Enforced Departure for Hong Kong Residentspdf263 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 09-22, Modified Adjusted Gross Income (MAGI) Recertification Procedures and Voice Signaturepdf457 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 09-23, Retroactive and Ongoing Dually Eligible Applicants/Beneficiaries – Medical Expensespdf472 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 10-20, Extended Limits of Confinement Inmate Release Procedures for COVID-19 OBSOLETEpdf343 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 10-21, Social Security and VA Cost-of-Living Adjustmentpdf280 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 10-22, North Carolina Health Choice (NCHC) Pregnant Applicants/Beneficiaries Who Report Pregnancypdf137 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 10-23, Health Coverage for Workers with Disabilities – Updated Procedurespdf491 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 11-20, Medicaid COVID-19 Optional Testing Group – OBSOLETEpdf291 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 11-22, 2023 Social Security And VA Cost-Of-Living Adjustment (COLA)pdf254 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 11-23, Request for NC Innovations Waiver Action Indicator Action Neededpdf309 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 12-20, Program of All-Inclusive Care For The Elderly (PACE)Voluntary/Involuntary Disenrollmentpdf243 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 12-22, Prepaid Health Plan (PHP) Notification of Nursing Facility Level Of Care Formpdf180 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 12-23, Medicaid Procedures for Requesting Corrections – DSS Support Unitpdf567 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB ADMINISTRATIVE LETTER NO. 13-23, Child Support Cooperation and Applying for Other Monetary Benefits Post Eligibility During the Continuous Coverage Unwinding (CCU) Periodpdf314 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-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)pdf220 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DHB-1061 Checklist for Child Medical Evaluation (CME) Reportingpdf291 KBhealth-benefits-nc-medicaidform
DHB-2039 PHP Notification of Nursing Facility Level of Carepdf239 KBhealth-benefits-nc-medicaidform
DHB-2040 Tribal and Indian Health Servicespdf155 KBhealth-benefits-nc-medicaidform
DHB-2040B Tribal and Indian Health Servicespdf189 KBhealth-benefits-nc-medicaidform
DHB-2043 Third Party Recovery Accident Information Formpdf797 KBhealth-benefits-nc-medicaidform
DHB-2044ia Medicaid Credit Balance Reportpdf189 KBhealth-benefits-nc-medicaidform
DHB-2045 Instructions for Completing Medicaid Credit Balance Reportpdf141 KBhealth-benefits-nc-medicaidform
DHB-2050 Voluntary Request to Terminate Medicaidpdf114 KBhealth-benefits-nc-medicaidform
DHB-2055 Reimbursement for Medical Transportationxls34 KBhealth-benefits-nc-medicaidform
DHB-2056 Purchased Medical Transportation Costsxls83 KBhealth-benefits-nc-medicaidform
DHB-2190 Internal Inspection Reportpdf483 KBhealth-benefits-nc-medicaidform
DHB-2191 Designation of Control Officer for FRR/Beer Reportspdf217 KBhealth-benefits-nc-medicaidform
DHB-2192 SSA Training Form – County Staff and County Contract Staffpdf95 KBhealth-benefits-nc-medicaidform
DHB-2193 Memorandum of CAP Waiver Enrollmentpdf253 KBhealth-benefits-nc-medicaidform
DHB-2194 IRC Rules Handoutpdf139 KBhealth-benefits-nc-medicaidform
DHB-2195 Documentation of Annual Security Training Confidentiality Form – County Staffpdf102 KBhealth-benefits-nc-medicaidform
DHB-2196 Documentation of Annual Security Training – Shred Contractor Trainingpdf103 KBhealth-benefits-nc-medicaidform
DHB-2197 FTI Record Keeping Logxls30 KBhealth-benefits-nc-medicaidform
DHB-2198 Log for Destruction of the FRR/BEER Reportspdf80 KBhealth-benefits-nc-medicaidform
DHB-2199 Documentation of the Visitation Logspdf45 KBhealth-benefits-nc-medicaidform
DHB-2200 Access Control Logpdf45 KBhealth-benefits-nc-medicaidform
DHB-2201 Confidentiality of Safeguard Datapdf140 KBhealth-benefits-nc-medicaidform
DHB-2202 Beneficiary Noticepdf79 KBhealth-benefits-nc-medicaidform
DHB-3051-ia Form and Instructions – Request for Independent Assessment for Personal Care Services – Attestation of Medical Needpdf494 KBhealth-benefits-nc-medicaidform
DHB-4037 Disability Determination Transmittalpdf165 KBhealth-benefits-nc-medicaidform
DHB-5001N Notice on the Use of Social Security Numberspdf107 KBhealth-benefits-nc-medicaidform
DHB-5001N_sp AVISO SOBRE EL USO DE LOS N√öMEROS DE SEGURO SOCIALpdf186 KBhealth-benefits-nc-medicaidform
DHB-5002 Important Notice About Your Medicaid or Special Assistance Approvalpdf768 KBhealth-benefits-nc-medicaidform
DHB-5002sp-ia Lea Este Importante Aviso Sobre Medicail o la Asistencia Especial Aviso de Aprobacionpdf284 KBhealth-benefits-nc-medicaidform
DHB-5003 Medicaid Approval Noticepdf349 KBhealth-benefits-nc-medicaidform
DHB-5003sp-ia LEA ESTE IMPORTANTE AVISO SOBRE MEDICAID AVISO DE APROBACIONpdf265 KBhealth-benefits-nc-medicaidform
DHB-5004-ia Buy-In Clerical Actionpdf201 KBhealth-benefits-nc-medicaidform
DHB-5008a Adult Budget Sheetpdf186 KBhealth-benefits-nc-medicaidform
DHB-5008B Supplement Bpdf118 KBhealth-benefits-nc-medicaidform
DHB-5008c-ia Spouse and Dependent Income Allowance Worksheetpdf62 KBhealth-benefits-nc-medicaidform
DHB-5008e ABD Medicaid Parent To Child Deeming Budgeting Sheetpdf221 KBhealth-benefits-nc-medicaidform
DHB-5009 Social History Summary For The Disabledpdf146 KBhealth-benefits-nc-medicaidform
DHB-5016-ia Notification of Eligibility for Medicaid/Amount and Effective Date of Patient’s Liabilitypdf140 KBhealth-benefits-nc-medicaidform
DHB-5024 Transportation Assessment Notificationpdf139 KBhealth-benefits-nc-medicaidform
DHB-5024sp Aviso de Evaluación de Transportepdf103 KBhealth-benefits-nc-medicaidform
DHB-5026 Notice Of Obligation To Apply For Veteran’s Benefitspdf105 KBhealth-benefits-nc-medicaidform
DHB-5027 Veteran’s Benefits Verification Letterpdf141 KBhealth-benefits-nc-medicaidform
DHB-5028-ia Authorization to Disclose Informationpdf259 KBhealth-benefits-nc-medicaidform
DHB-5036 Record Of Medical Expenses Applied To The Deductiblepdf218 KBhealth-benefits-nc-medicaidform
DHB-5043 Verification Form For Self-Employment Income and Expensespdf143 KBhealth-benefits-nc-medicaidform
DHB-5043-ia Verification Form For Self-Employment Income and Expensespdf79 KBhealth-benefits-nc-medicaidform
DHB-5046 Notice of Rights/Responsibilities – Medical Transportation Assistance (English & Spanish)pdf141 KBhealth-benefits-nc-medicaidform
DHB-5047 Medicaid Transportation Assessmentpdf323 KBhealth-benefits-nc-medicaidform
DHB-5048 Medicaid Transportation Exception Verificationpdf326 KBhealth-benefits-nc-medicaidform
DHB-5051 Estate Subject To Medicaid Recovery: Individuals Under Age 55pdf238 KBhealth-benefits-nc-medicaidform
DHB-5051sp Notice of Medicaid Recovery – People Under 55 (Spanish)pdf238 KBhealth-benefits-nc-medicaidform
DHB-5052 NOTICE: YOUR ESTATE IS SUBJECT TO MEDICAID RECOVERYpdf245 KBhealth-benefits-nc-medicaidform
DHB-5052 sp AVISO IMPORTANTE SU PATRIMONIO ESTÁ SUJETO A RECUPERACIÓN DE MEDICAIDpdf251 KBhealth-benefits-nc-medicaidform
DHB-5052sa State/County Special Assistance Beneficiary Estate Subject to Medicaid Recovery Noticepdf150 KBhealth-benefits-nc-medicaidform
DHB-5052SA-sp Notificación al Beneficiario de la Asistencia Especial Del Estado/Condado Sobre la Recuperación de los Gasto Médicos Pagados por Medicaidpdf207 KBhealth-benefits-nc-medicaidform
DHB-5053 Estate Recovery – Permanently Institutionalizedpdf151 KBhealth-benefits-nc-medicaidform
DHB-5053sp SU PATRIMONIO ESTÁ SUJETO A RECUPERACIÓN DE MEDICAIDpdf146 KBhealth-benefits-nc-medicaidform
DHB-5054 Estate Recovery – Claim Noticepdf165 KBhealth-benefits-nc-medicaidform
DHB-5054sp – Estate Recovery – Claim Notice (Spanish)pdf139 KBhealth-benefits-nc-medicaidform
DHB-5056 Estate Recovery Information Formpdf117 KBhealth-benefits-nc-medicaidform
DHB-5076 Pregnancy Management Programpdf76 KBhealth-benefits-nc-medicaidform
DHB-5076 Pregnancy Management Program -Spanish Versionpdf82 KBhealth-benefits-nc-medicaidform
DHB-5078 Medicaid Transportation Monitoring Reportpdf123 KBhealth-benefits-nc-medicaidform
DHB-5079 Breast and Cervical Cancer Medicaid Applicationpdf393 KBhealth-benefits-nc-medicaidform
dhb-5079sp Solicitud de Medicaid para c√°ncer de seno y de cuello uterinopdf404 KBhealth-benefits-nc-medicaidform
dhb-5081-ia Breast and Cervical Cancer Verification: Screening, Diagnosis and Treatmentpdf145 KBhealth-benefits-nc-medicaidform
dhb-5081r-ia Breast and Cervical Cancer Recertification: Screening, Diagnosis and Treatmentpdf63 KBhealth-benefits-nc-medicaidform
dhb-5081r-sp-ia Para Seguir Recibiendo Cobertura De Medicaid Para El Cancer De Seno Y El Cancer Del Cuello Uterinopdf103 KBhealth-benefits-nc-medicaidform
dhb-5081sp-ia Verificacion De Evaluacion, Diagnostico Y Tratamientopdf159 KBhealth-benefits-nc-medicaidform
dhb-5082 Transitional Benefit Reportpdf185 KBhealth-benefits-nc-medicaidform
dhb-5083 Notice of Transitional Benefitspdf199 KBhealth-benefits-nc-medicaidform
dhb-5083sp Aviso De Beneficios Transitoriospdf206 KBhealth-benefits-nc-medicaidform
dhb-5084 Transitional Benefits Good Causepdf149 KBhealth-benefits-nc-medicaidform
dhb-5084sp Motivos Justificados Para No Haber Entregado A Tiempo Su Informe De Beneficios Transitoriospdf136 KBhealth-benefits-nc-medicaidform
dhb-5087-ia Check List For Breast and Cervical Cancer Medicaidpdf192 KBhealth-benefits-nc-medicaidform
dhb-5087-sp Check List For Breast and Cervical Cancer Medicaidpdf91 KBhealth-benefits-nc-medicaidform
DHB-5097 Request for Informationpdf221 KBhealth-benefits-nc-medicaidform
DHB-5097sp-ia Solicitud de informaciónpdf186 KBhealth-benefits-nc-medicaidform
DHB-5098-ia Your Application for Medicaid is Pendingpdf21 KBhealth-benefits-nc-medicaidform
DHB-5104 Notice of Incomplete Applicationpdf114 KBhealth-benefits-nc-medicaidform
DHB-5104sp Notificación de Solicitud Incompletapdf135 KBhealth-benefits-nc-medicaidform
dhb-5106 Medicaid Pace Program Referralpdf280 KBhealth-benefits-nc-medicaidform
DHB-5111 Annuity Verification Formpdf115 KBhealth-benefits-nc-medicaidform
DHB-5113, Notification of Right to Request an Undue Hardship Waiver (Transfer of Assets)pdf133 KBhealth-benefits-nc-medicaidform
DHB-5115 Notification of Right to Request a Demonstrated Hardship Waiver (Home Equity Value)pdf163 KBhealth-benefits-nc-medicaidform
DHB-5118A-ia Medicaid Transportation Verification of Receipt of Covered Service – Apdf36 KBhealth-benefits-nc-medicaidform
DHB-5118B-ia Medicaid Transportation Verification of Receipt of Covered Service- Bpdf41 KBhealth-benefits-nc-medicaidform
DHB-5119 Denial of Transportation Request(s)pdf130 KBhealth-benefits-nc-medicaidform
DHB-5119sp Negación de Solicitudes de Transportepdf129 KBhealth-benefits-nc-medicaidform
dhb-5121 Determining Potential Medicaid Eligibilitypdf150 KBhealth-benefits-nc-medicaidform
DHB-5122 Community Spouse Resource Protection Worksheetpdf124 KBhealth-benefits-nc-medicaidform
DHB-5125 Medicaid Transportation No-Show Noticepdf80 KBhealth-benefits-nc-medicaidform
DHB-5125a Medicaid Transportation No-Show Final Noticepdf81 KBhealth-benefits-nc-medicaidform
DHB-5125Asp Aviso final: Usted no usó el transporte de Medicaidpdf173 KBhealth-benefits-nc-medicaidform
DHB-5125B Medicaid Transportation Suspension Noticepdf62 KBhealth-benefits-nc-medicaidform
DHB-5125Bsp Aviso de Suspensión de Transporte de Medicaidpdf122 KBhealth-benefits-nc-medicaidform
DHB-5125sp Aviso: Usted no usó el transporte de Medicaidpdf169 KBhealth-benefits-nc-medicaidform
DHB-5152 North Carolina Residency Declarationpdf129 KBhealth-benefits-nc-medicaidform
DHB-5152sp Declaración de residencia en Carolina del Nortepdf112 KBhealth-benefits-nc-medicaidform
DHB-5161 Transfer of Asset Below Current Market Valuepdf125 KBhealth-benefits-nc-medicaidform
DHB-5164 Change to PML Request Memopdf207 KBhealth-benefits-nc-medicaidform
DHB-5165 PACE Referral Request For A Medicaid Hearingpdf159 KBhealth-benefits-nc-medicaidform
DHB-5166 PACE Application Reportpdf180 KBhealth-benefits-nc-medicaidform
DHB-5170 Request for Claims Overridepdf242 KBhealth-benefits-nc-medicaidform
dhb-5179 MAABD Eligibility Overview Chartpdf277 KBhealth-benefits-nc-medicaidform
DHB-5181 5181 Calculating Penalty Period – Transfers 11/1/07 or Laterpdf110 KBhealth-benefits-nc-medicaidform
DHB-5200-ia Application for Health Coverage & Help Paying Costspdf916 KBhealth-benefits-nc-medicaidform
DHB-5200sp Solicitud Para Cobertura de Salud y Ayuda Para Pagar los Costospdf2 MBhealth-benefits-nc-medicaidform
DHB-5201-ia Application for Health Coverage & Help Paying Costs (Short Form)pdf568 KBhealth-benefits-nc-medicaidform
DHB-5202C-ia Designation of Authorized Representative – Appendix Cpdf155 KBhealth-benefits-nc-medicaidform
DHB-5202E-ia Medical Bills – Appendix Epdf215 KBhealth-benefits-nc-medicaidform
DHB-5202Esp-ia Apéndice E – Facturas médicaspdf119 KBhealth-benefits-nc-medicaidform
DHB-7058 Investigative Summarypdf1 MBhealth-benefits-nc-medicaidform
dhb-7059 Notice Of Change In Overpayment For Medical Assistancepdf94 KBhealth-benefits-nc-medicaidform
dhb-7060 Voluntarty Repayment Agreementpdf853 KBhealth-benefits-nc-medicaidform
dhb-7061 Voluntary Wage Withholding Agreementpdf173 KBhealth-benefits-nc-medicaidform
dhb-7063 Medicaid/NC Health Choice Recipient Profile Request Sheet Apr 21, 2021pdf298 KBhealth-benefits-nc-medicaidform
DHB-7078A Application 2nd Party Review Worksheetpdf528 KBhealth-benefits-nc-medicaidform
DHB-7078R Recertification 2nd Party Review Worksheetpdf515 KBhealth-benefits-nc-medicaidform
dhb-7097-ia Recipient Request and Authorization to Disclose Health Informationpdf175 KBhealth-benefits-nc-medicaidform
dhb-7098-I DMA-7098 – Additional Information and Instructions Feb 23, 2021pdf146 KBhealth-benefits-nc-medicaidform
dhb-8010 Notice of Overpayment For Medical Assistancepdf217 KBhealth-benefits-nc-medicaidform
dhb-8010sp Notice of Overpayment For Medical Assistance (Spanish Version)pdf131 KBhealth-benefits-nc-medicaidform
DHB-8020-ia Medicaid Eligibility Corrections Formpdf323 KBhealth-benefits-nc-medicaidform
DMA 9006sp Formulario de inscripción en CCNC/CApdf133 KBhealth-benefits-nc-medicaidform
DMA ADMINISTRATIVE LETTER 01-09, American Recovery And Reinvestment Act Of 2009pdf18 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER 03-09, (CCNC/CA)pdf21 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER 03-09, ADDENDUM 1, (CCNC/CA)pdf19 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER 03-09, ADDENDUM 2, (CCNC/CA)pdf24 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER 04-09, Medicaid Card Changespdf52 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER 05-09, Computer Based Trainingpdf35 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER 05-09, Computer Based Trainingpdf35 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER 07-09, ADDENDUM 1, Low Income Subsidy (LIS)pdf14 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER 07-09, Low Income Subsidy (LIS)pdf14 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER 07-09, Low Income Subsidy (LIS) Application For Medicaidpdf128 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER 07-09, Low Income Subsidy (LIS) Application For Medicaidpdf128 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER DMA-2-2010, (New Procedures For Releasing Tax Intercepts And Changes To The Debtor Detail Screen)pdf20 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER DMA-2-2010, (New Procedures For Releasing Tax Intercepts And Changes To The Debtor Detail Screen)pdf20 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 01-08, Use Of Electronic Signaturespdf18 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 01-09, American Recovery And Reinvestment Act Of 2009pdf18 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 01-10, ADDENDUM 1, MQB Budgetingpdf97 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 01-10, ADDENDUM 2, MQB Budgetingpdf20 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 01-10, MQB Budgetingpdf76 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 01-15, Spousal Impoverishment Standardspdf184 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 01-17, Achieving A Better Life Experience (Able Act)pdf88 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 01-18, Social Security and VA Cost-of-Living Adjustmentpdf11 MBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 01-18, Social Security And VA Cost-Of-Living Adjustmentpdf11 MBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 02-05, Administrative Cost Reimbursement – Day Sheet Coding And Reporting On The DSS-1571pdf29 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 02-08, Policy And Procedures For Program Of All-Inclusive Care For The Elderly (Pace)pdf27 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 02-11, Federal Poverty Level Change Review For Ongoing MQB-B & E Casespdf17 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 02-12, Referral Of Recipient Fraud To Law Enforcementpdf22 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 02-13, DMA Administrative Letter No: 02-13, Federal Poverty Level Change Review For Ongoing MQB-B & E Casespdf17 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 02-15, Title IV-E And Special Needs Adoption Childrenpdf344 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 02-16, 2016 Federal Poverty Level Changespdf215 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 02-18, 2018 Federal Poverty Level (FPL) Changes and Cost of Living (COLA) Disregardpdf24 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 02-18, 2018 Federal Poverty Level (FPL) Changes And Cost Of Living Adjustment (COLA) Disregardpdf24 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 02-19, The Work Number Procedurespdf134 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 03 -09, (CCNC/CA)pdf21 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 03-09, ADDENDUM 1, (CCNC/CA)pdf19 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 03-09, ADDENDUM 2, (CCNC/CA)pdf24 KBadult-medicaid health-benefits-nc-medicaidadministrative-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 Fieldpdf15 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 03-11, Automated Terminations Of Mic & North Carolina Health Choice Casespdf22 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 03-14, Asset Verification System (AVS)pdf100 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 03-16, Spousal Impovershment Standardspdf144 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 03-17, Spousal Impoverishment Standardspdf100 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 03-18, Hospital Provider Instructions for Determining Presumptive Eligibilitypdf434 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 03-18, Hospital Provider Instructions For Determining Presumptive Eligibilitypdf434 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 04-05, Use Of Social Security Numberspdf31 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 04-07, Transportation Auditpdf47 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 04-07, Transportation Auditpdf47 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 04-09, Medicaid Card Changespdf52 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 04-10, COMMUNITY ALTERNATIVE PROGRAM (CAP), Community Alternative Program (CAP) County Transferspdf24 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 04-12, Nemt Vendor Obligations And Policy Implementation Timelinepdf53 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 04-14, Medicaid Recertificationpdf98 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 04-15, Certification Periodpdf9 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 04-16, Obsolete Formspdf152 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 05-07, Medicare Buy-In Reportpdf15 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 05-07, Medicare Buy-In Reportpdf15 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 05-08, Obsolete & Current Administrative Letterspdf37 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 05-11, Citizenship/Identity Retroactive Review Requirementspdf61 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 05-15, Social Security And Va Cost-Of-Living Adjustmentpdf385 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 05-15, Unconverted Medicaid Casespdf51 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 05-18, Spousal Impoverishment Standardspdf153 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 06-03, Addendum 1 CBT Course Updatepdf15 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 06-03, Computer Based Trainingpdf28 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 06-03, Family CBTpdf15 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 06-08, 2008 Economic Stimulus Tax Rebatepdf19 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 06-08, 2008 Economic Stimulus Tax Rebatepdf19 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 06-10, Puerto Rican Issued Birth Certificatespdf11 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 06-18, ADDENDUM 2, Medicaid Procedures for Hurricane Florencepdf100 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 06-18, ADDENDUM 2, Medicaid Procedures For Hurricane Florencepdf100 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 06-18, Emergency Medicaid Procedures for Hurricane Florence Victimspdf50 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 06-18, Emergency Medicaid Procedures For Hurricane Florence Victimspdf50 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 07-05, Piedmont Cardinal Health Plan (PCHP), 07-05pdf46 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 07-08, ADDENDUM 1, EIS Code Instructions And Eligibility Policy For All Immigrants Including Iraqi And Afghanistan Special Immigrantspdf62 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 07-08, ADDENDUM 1, EIS Code Instructions And Eligibility Policy For All Immigrants Including Iraqi And Afghanistan Special Immigrantspdf62 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 07-08, Iraqi And Afghanistan Special Immigrantspdf32 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 07-08, Iraqi And Afghanistan Special Immigrantspdf32 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-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 Screenpdf134 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 07-14, Eugenics Asexualization And Sterilization Compensationpdf122 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 07-16, Addendum 1, Social Security And Va Cost-Of-Living Adjustmentpdf2 MBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 07-16, Social Security And Va Cost-Of-Living Adjustmentpdf385 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 07-19, Social Security and VA Cost-Of-Living Adjustmentpdf379 KBadult-medicaid health-benefits-nc-medicaidadministrative-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 Processpdf42 KBadult-medicaid health-benefits-nc-medicaidadministrative-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 PROCESSpdf42 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 08-13, ADDENDUM 1, Health Coverage For Workers With Disabilitiespdf86 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 08-13, Health Coverage For Workers With Disabilitiespdf53 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 09-05, Life Estate Subject To Estate Recovery, 09-05pdf18 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 09-08, ADDENDUM 1, Medicaid Suspensionpdf49 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 09-08, ADDENDUM 2, Medicaid Suspensionpdf19 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 09-08, Medicaid Suspensionpdf50 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 09-10, Medicare Savings Program Resource Limit Increasepdf12 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 09-13, Residency For Adoptive Children Medicaidpdf12 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 09-14, 2101 (F) North Carolina Health Choice Childrenpdf154 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 10-08, (CCNC/CA Exemptions)pdf46 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 10-12, Verification Of Veterans’ Benefitspdf17 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 11-08, ADENDUM, 1 Guidance Regarding Immigration Status, Undocumented Immigrants With Multiple Names And Social Security Numberspdf14 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 11-08, Guidance Regarding Immigration Status, Undocumented Immigrants With Multiple Names And Social Security Numberspdf18 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 11-13, ADDENDUM 3, Hospital Provider Instructions For Determining Presumptive Eligibilitypdf19 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 11-13, Hospital Provider Instructions For Determining Presumptive Eligibilitypdf441 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 12-13, Affordable Care Act (ACA) Overview Of Changes To The Application Processpdf93 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 13-13, Mic-1 Children Age 6 Through Age 18, 107% – 133% FPLpdf77 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 14-03, ADDENDUM 17, MQB-E Certification Period Extension To 9/30/08pdf15 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 14-03, ADDENDUM 18, MQB-E Certification Period Extension To 12/31/2008pdf15 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 14-03, Certification Period Extension For Qualifying Individuals (QI1)pdf14 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 14-03, MQB-E Certification Period Extension To 6/30/2008pdf15 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 14-13, Medicaid To Former Foster Care Children (MFC)pdf82 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 15-04, Enrolled Presumptive Eligibility Providerspdf55 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 15-13, Certification And Authorization Periods For Applications Taken During Open Enrollmentpdf14 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 16-13, Affordable Care Act (ACA) Changes To Citizenship And Identity Verificationpdf95 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 18-13, Addendum 4, Provider Instructions For Presumptive Eligibility For Pregnant Womenpdf19 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO: 18-13, Provider Instructions For Presumptive Eligibility For Pregnant Womenpdf187 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 01-08, Use Of Electronic Signaturespdf18 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 01-10, ADDENDUM 1, MQB Budgetingpdf97 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 01-10, ADDENDUM 2, MQB Budgetingpdf20 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 01-10, MQB Budgetingpdf76 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 01-11, Self Certification For Life Line Link Uppdf19 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 01-14, Affordable Care Act (ACA) Overview Of Medicaid Changespdf90 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 01-15, Spousal Impoverishment Standardspdf184 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 01-17, Achieving A Better Life Experience (Able Act)pdf24 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 01-19, Extension of Eligibility at Recertificationpdf202 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 02-05, Administrative Cost Reimbursement – Day Sheet Coding And Reporting On The DSS-1571pdf28 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 02-08, Policy And Procedures For Program Of All-Inclusive Care For The Elderly (Pace)pdf27 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 02-09, Update To Life Expectancy Tablepdf95 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 02-11, Federal Poverty Level Change Review For Ongoing MQB-B & E Casespdf17 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 02-12, Premium Payment Screenpdf30 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 02-12, Referral Of Recipient Fraud To Law Enforcementpdf22 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 02-13, Federal Poverty Level Change Review For Ongoing MQB-B & E Casespdf17 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 02-15, Title IV-E And Special Needs Adoption Childrenpdf344 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 02-16, Federal Poverty Level Changespdf215 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 02-19, The Work Number Procedurespdf134 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-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)pdf25 KBadult-medicaid health-benefits-nc-medicaidadministrative-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)pdf25 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-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)pdf15 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 03-11, Automated Terminations Of MIC & North Carolina Health Choice Casespdf22 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 03-14, Asset Verification System (AVS)pdf100 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 03-16, Spousal Impoverishment Standardspdf144 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 03-17, Spousal Impoverishment Standardspdf100 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 03-19, Hawkins V. Cohen Procedures- Obsoletepdf272 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 04-05, Use Of Social Security Numberspdf108 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 04-06 ADDENDUM 1, Notice To Clients of Upcoming Citizenship/Identity Requirementpdf17 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 04-06, Addendum 1, Notice To Clients of Upcoming Citizenship/Identity Requirementpdf98 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 04-06, Outreach To Tell Clients of Upcoming Changepdf14 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 04-06, Outreach To Tell Clients of Upcoming Changepdf15 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 04-10, Community Alternative Program (CAP)pdf24 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 04-11, Community Alternative Program (CAP)pdf15 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 04-12, NEMT Vendor Obligations And Policy Implementation Timelinepdf53 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 04-14, Medicaid Recertificationpdf98 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 04-15, Certification Periodpdf9 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 04-16, Obsolete Formspdf152 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 04-19, Medicaid Verification Reportspdf68 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 05-08, Obsolete & Current Administrative Letterspdf37 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 05-11, Citizenship/Identity Retroactive Review Requirementspdf61 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 05-15, Social Security And VA Cost-Of-Living Adjustmentpdf385 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 05-19, Spousal Impoverishment Standardspdf16 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 06-03, Addendum 1, CBT Course Updatepdf16 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 06-03, Addendum 2, Family CBTpdf15 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 06-03, Computer Based Trainingpdf37 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 06-06, Medicaid/NCHC Inquiries And DMA Contact Listpdf66 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 06-06, Medicaid/NCHC Inquiries And DMA Contact Listpdf102 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-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)pdf112 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 06-10, ADDENDUM 1, Puerto Rico Birth Certificatespdf19 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 06-10, Puerto Rican Issued Birth Certificatespdf11 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 06-11, Social Security And Va Cost-Of-Living Adjustment (COLA)pdf166 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 06-11, Social Security And VA Cost-Of-Living Adjustment (COLA)pdf166 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 06-15, Unconverted Medicaid Casespdf51 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 06-19, ADDENDUM 1, Medicaid Procedures for Hurricane Dorianpdf228 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 06-19,Medicaid Procedures for Hurricane Dorian – Obsoletepdf827 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 07-05, Piedmont Cardinal Health Plan (PCHP)pdf82 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-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 Screenpdf134 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 07-12, Lifeline/Link-Uppdf54 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 07-12, Lifeline/Link-Uppdf54 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 07-14, Eugenics Asexualization And Sterilization Compensationpdf122 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 07-16, Social Security And VA Cost-Of-Living Adjustmentpdf385 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 07-19, Social Security and VA Cost-Of-Living Adjustmentpdf379 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 08-04, EPICSpdf28 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 08-04, EPICSpdf37 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-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)pdf46 KBadult-medicaid health-benefits-nc-medicaidadministrative-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)pdf46 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-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 1pdf17 KBadult-medicaid health-benefits-nc-medicaidadministrative-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)pdf17 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 08-09, Citizenship Documentationpdf76 KBadult-medicaid health-benefits-nc-medicaidadministrative-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)pdf28 KBadult-medicaid health-benefits-nc-medicaidadministrative-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)pdf28 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 08-09, DAAS ADMINISTRATIVE LETTER NO. 09-24, ECONOMIC AND FAMILY SERVICES EFS_WF_AL-11-2009, Citizenship Documentationpdf76 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 08-13, ADDENDUM 1, Health Coverage For Workers With Disabilitiespdf86 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 08-13, Health Coverage For Workers With Disabilitiespdf53 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 09-07, Social Security And Va Cost-Of-Living Adjustment (COLA)pdf176 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 09-07, Social Security And Va Cost-Of-Living Adjustment (COLA)pdf176 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 09-08, ADDENDUM 1, Medicaid Suspensionpdf49 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 09-08, ADDENDUM 2, Medicaid Suspensionpdf19 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 09-08, Medicaid Suspensionpdf50 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 09-12, Social Security And Va Cost-Of-Living Adjustment (COLA)pdf143 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 09-12, Social Security And VA Cost-Of-Living Adjustment (COLA)pdf143 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 09-13, Residency For Adoptive Children Medicaidpdf12 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 09-14, 2101 (F) North Carolina Health Choice Childrenpdf154 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 10-04, ACTS LEIS Profiles And New Screenspdf6 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 10-04, AMENDED, ACTS LEIS Profiles And New Screenspdf16 KBadult-medicaid family-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 10-08, (CCNC/CA Exemptions)pdf46 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 10-12, Verification Of Veterans’ Benefitspdf17 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 10-13, Social Security And Va Cost-Of-Living Adjustment (Cola)pdf234 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 10-13, Social Security And VA Cost-Of-Living Adjustment (COLA)pdf234 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 10-14, Social Security And Va Cost-Of-Living Adjustment (Cola)pdf135 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 10-14, Social Security And Va Cost-Of-Living Adjustment (COLA)pdf135 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 11-08, ADDENDUM 1, Guidance Regarding Immigration Status, Undocumented Immigrants With Multiple Names And Social Security Numberspdf14 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 11-08, Guidance Regarding Immigration Status, Undocumented Immigrants With Multiple Names And Social Security Numberspdf18 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 11-13, ADDENDUM 3, Hospital Provider Instructions For Determining Presumptive Eligibilitypdf19 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 11-13, Hospital Provider Instructions For Determining Presumptive Eligibilitypdf441 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 12-08, Social Security And Va Cost-Of-Living Adjustment (COLA)pdf170 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 12-08, Social Security And Va Cost-Of-Living Adjustment (COLA)pdf170 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 12-13, Affordable Care Act (ACA) Overview Of Changes To The Application Processpdf93 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 13-13, MIC-1 Children Age 6 Through Age 18, 107% – 133% FPLpdf77 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 14-03, Addendum 17, MQB-E Certification Period Extension To 9/30/08pdf15 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 14-03, Addendum 18, MQB-E Certification Period Extension To 12/31/2008pdf15 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 14-13, Medicaid To Former Foster Care Children (MFC)pdf82 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 15-04, Enrolled Presumptive Eligibility Providerspdf38 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 15-13, Certification And Authorization Periods For Applications Taken During Open Enrollmentpdf14 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 16-02 Addendum 1, Security of Internal Revenue Service (FRR) and Social Security Administration Information (BEER) – OBSOLETEpdf16 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 16-02 Addendum 2, FRR/Beer Security – OBSOLETEpdf48 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 16-02 Addendum 3, FRR/Beer Security – OBSOLETEpdf5 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 16-02, ADDENDUM 1, FRR/BEER – OBSOLETEpdf106 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 16-02, ADDENDUM 2, FRR/BEER Security – OBSOLETEpdf28 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 16-02, ADDENDUM 3, FRR/BEER Security – OBSOLETEpdf33 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 16-02, Security of Internal Revenue Service and Social Security Administration Information – OBSOLETEpdf41 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 16-02, Work First and Food Stamps – OBSOLETEpdf72 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 16-13, Affordable Care Act (ACA) Changes To Citizenship And Identity Verificationpdf95 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 17-06, Medicaid Transportation Revisionspdf31 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 17-06, Medicaid Transportation Revisionspdf31 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 18-01, NC Health Choice Cases With EIS Cert. Periods That Do Not Match The BCBS 12 Month Coverage Periodspdf22 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 18-01, NC Health Choice Cases With EIS Cert. Periods That Do Not Match The BCBS 12 Month Coverage Periodspdf31 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 18-03, New Medicaid Profile Indicator And Follow-Up Case Management Reportpdf29 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 18-03, New Medicaid Profile Indicator And Follow-Up Case Management Reportpdf43 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 18-13, ADDENDUM 1, Provider Instructions For Presumptive Eligibility For Pregnant Womenpdf50 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 18-13, ADDENDUM 4, Provider Instructions For Presumptive Eligibility For Pregnant Womenpdf19 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 18-13, Provider Instructions For Presumptive Eligibility For Pregnant Womenpdf187 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 24-02, New Validation Process For Epics Referralspdf26 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 24-02, New Validation Process For EPICS Referralspdf36 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINISTRATIVE LETTER NO. 27-01, Subscription To Medicaid Eligibility Manualspdf32 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DMA ADMINSTRATIVE LETTER: NO. 04-18, DAAS ADMINISTRATIVE LETTER NO. 18-03, Systematic Alien Verification For Entitlements (Save) Paperless Verification Processingpdf186 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
dma-0100 Physician’s Signature for Authorization of Level of Carepdf89 KBhealth-benefits-nc-medicaidform
dma-1049 Cover Letter for LIS Application for Medicaidpdf12 KBhealth-benefits-nc-medicaidform
dma-1050 Notice of Application for Extra Help with Medicare Prescription Drug Costspdf13 KBhealth-benefits-nc-medicaidform
dma-1051 LIS Verification Checklistpdf65 KBhealth-benefits-nc-medicaidform
dma-1051-ia LIS Verification Checklistpdf170 KBhealth-benefits-nc-medicaidform
dma-1052 Notice of Approval for Extra Help with Medicaire Prescription Drug Costspdf28 KBhealth-benefits-nc-medicaidform
dma-1052-ia Notice of Approval for Extra Help with Medicare Prescription Drug Costspdf76 KBhealth-benefits-nc-medicaidform
dma-1053 Medicare Prescription Drug Subsidy Assistancepdf45 KBhealth-benefits-nc-medicaidform
dma-1053-ia Medicare Prescription Drug Subsidy Assistancepdf45 KBhealth-benefits-nc-medicaidform
dma-1054 Report of Approval/Denial of LIS Applicationpdf32 KBhealth-benefits-nc-medicaidform
dma-2000a County DSS Request for DMA Formspdf100 KBhealth-benefits-nc-medicaidform
dma-2000h Health Agencies Request for DMA Formspdf158 KBhealth-benefits-nc-medicaidform
dma-2000x Order Form for NC Medicaid Consumer Guidespdf82 KBhealth-benefits-nc-medicaidform
dma-2041-ia Third Party Recovery Insurance Informationpdf106 KBhealth-benefits-nc-medicaidform
dma-2046 Third Party Liability Medicaid and NC Health Choice Billing Guidepdf484 KBhealth-benefits-nc-medicaidform
dma-2053-ia Insurance Company Code Request Formpdf89 KBhealth-benefits-nc-medicaidform
dma-2057 Health Insurance Information Referral Formpdf5 KBhealth-benefits-nc-medicaidform
dma-2069 Health Insurance Premium Payment Program Applicationpdf140 KBhealth-benefits-nc-medicaidform
dma-2073 Medicaid Payment Information Requestpdf28 KBhealth-benefits-nc-medicaidform
dma-2073-I Instructions for Medicaid Payment Information Requestpdf17 KBhealth-benefits-nc-medicaidform
dma-2188 Notice of Privacy Practicespdf137 KBhealth-benefits-nc-medicaidform
dma-2188sp Aviso De Pr√°cticas De Privacidadpdf46 KBhealth-benefits-nc-medicaidform
dma-2190 Report of Internal Inspection FRR/BEERpdf717 KBhealth-benefits-nc-medicaidform
dma-2191 Designation of Control Officer for FRR/BEERpdf656 KBhealth-benefits-nc-medicaidform
dma-2192 Documentation of SSA Security Trainingpdf680 KBhealth-benefits-nc-medicaidform
dma-3002 Program Care Coordinator Pregnancy Outcome Reportpdf112 KBhealth-benefits-nc-medicaidform
dma-3004 Maternity Care Coordination Letter of Agreementpdf31 KBhealth-benefits-nc-medicaidform
dma-3005 Care Coordinator Appointment Recordpdf45 KBhealth-benefits-nc-medicaidform
dma-3006 Care Coordination Recordpdf165 KBhealth-benefits-nc-medicaidform
dma-3007-ia Family Care Coordination Planpdf207 KBhealth-benefits-nc-medicaidform
dma-3016 Care Coordination Narrative Sheetpdf44 KBhealth-benefits-nc-medicaidform
dma-3019 Individual Authorization Formpdf47 KBhealth-benefits-nc-medicaidform
dma-3047 Hysterectomy Statement Formpdf139 KBhealth-benefits-nc-medicaidform
dma-3050R Adult Care Home Personal Care Physicianpdf407 KBhealth-benefits-nc-medicaidform
dma-3055 Family Planning Waiver New Enrollee Letterpdf35 KBhealth-benefits-nc-medicaidform
dma-3055R-I Instructions for Completing the Revised Adult Care Home Personal Care Physician Authorization and Care Plan (DMA-3050R)pdf38 KBhealth-benefits-nc-medicaidform
dma-3057-ia North Carolina Community Alternatives Program for Children Participation Noticepdf97 KBhealth-benefits-nc-medicaidform
dma-3059-ia Sterilization Consent Formpdf242 KBhealth-benefits-nc-medicaidform
dma-3063-ia CAP/C – Physician’s Request Form for In-Home Nursing Servicespdf36 KBhealth-benefits-nc-medicaidform
dma-3065 PCS Medical Attestation for Licensed Care Home Residentspdf248 KBhealth-benefits-nc-medicaidform
dma-3066 PCS for Licensed ACH Residents – Independent Assessment request for New Residentspdf231 KBhealth-benefits-nc-medicaidform
dma-3072-ia Self-Assessment Toolspdf273 KBhealth-benefits-nc-medicaidform
dma-3073-ia Individual Risk Assessmentpdf41 KBhealth-benefits-nc-medicaidform
dma-3085-I- Session Law 2013-306 PCS Training Attestation Form DMA-3085pdf33 KBhealth-benefits-nc-medicaidform
dma-3085-ia Session Law 2013-306 PCS Training Attestation Form May 30, 2018health-benefits-nc-medicaidform
dma-3087-ia Service Request for Home and Community-Based Services – PHYSICIANS ATTESTATIONpdf441 KBhealth-benefits-nc-medicaidform
dma-3114-I-ia Instructions – Request for Reconsideration of PCS Authorization (DMA-3114)pdf274 KBhealth-benefits-nc-medicaidform
dma-3114-ia Request for Reconsideration of PCS Authorizationpdf201 KBhealth-benefits-nc-medicaidform
dma-3116-I Instructions – Personal Care Services EPSDT Short-Term Increase-In-Hours Request Form (DMA-3116)pdf226 KBhealth-benefits-nc-medicaidform
dma-3116-ia Personal Care Services EPSDT Short-Term Increase-In-Hours Request Formpdf526 KBhealth-benefits-nc-medicaidform
dma-3125 Oral Nutrition Product Request Formpdf30 KBhealth-benefits-nc-medicaidform
dma-3136-ia Internal Quality Improvement Program Attestation Formpdf213 KBhealth-benefits-nc-medicaidform
dma-3136-ia-i Internal Quality Improvement Program Attestation Form – Instructionspdf32 KBhealth-benefits-nc-medicaidform
dma-3137 Personal Care Services (PCS) ICD-10 Transition Form Jun 01, 2018health-benefits-nc-medicaidform
dma-3137-i Personal Care Services (PCS) ICD-10 Transition Form – Instructionspdf298 KBhealth-benefits-nc-medicaidform
dma-3142-ia Abortion Statement (DMA-3142-IA)pdf127 KBhealth-benefits-nc-medicaidform
dma-3155 HIV Case Management – Medical Home Communication Trackerpdf543 KBhealth-benefits-nc-medicaidform
dma-3156 HIV Case Management – Continuing Education Hours Approval Formpdf684 KBhealth-benefits-nc-medicaidform
dma-3157 HIV Case Management Provider Recertification Application Checklistpdf213 KBhealth-benefits-nc-medicaidform
dma-3158 HIV Case Management Provider Recertification Applicationpdf128 KBhealth-benefits-nc-medicaidform
dma-3158-I HIV Case Management Provider Recertification Application – Instructionspdf189 KBhealth-benefits-nc-medicaidform
dma-3159 HIV Case Management Basic Training Request Formpdf173 KBhealth-benefits-nc-medicaidform
dma-3163-ia NC DMA – Community Alternatives Program for Children (CAP/C) Referral Formpdf523 KBhealth-benefits-nc-medicaidform
dma-3165-ia Notification of Hospice and Personal Care Services (PCS) Coordination Formpdf414 KBhealth-benefits-nc-medicaidform
dma-3171-I Verification of School Nursing – Instructionspdf346 KBhealth-benefits-nc-medicaidform
dma-3171-ia Verification of School Nursingpdf442 KBhealth-benefits-nc-medicaidform
dma-3172 Private Duty Nursing Employment Attestation Formpdf250 KBhealth-benefits-nc-medicaidform
dma-3173 Verification of Employment Formpdf153 KBhealth-benefits-nc-medicaidform
dma-3201-ia Critical Incident Report – Community Alternatives Program for Children (CAP-C)pdf298 KBhealth-benefits-nc-medicaidform
dma-3212-ia NC Medicaid Hospice Prior Approval Authorizationpdf110 KBhealth-benefits-nc-medicaidform
dma-3350 Prior Approval Form for Lower Extremity Prosthetic Component L5781 or L5782pdf25 KBhealth-benefits-nc-medicaidform
dma-3351 Prior Approval Form for Lower Extremity Prosthetic Component L5930pdf19 KBhealth-benefits-nc-medicaidform
dma-3352 Prior Approval Form for Lower Extremity Prosthetic Component L5968pdf20 KBhealth-benefits-nc-medicaidform
dma-3353 Prior Approval Form for Lower Extremity Prosthetic Component L5980pdf19 KBhealth-benefits-nc-medicaidform
dma-3354 Prior Approval Form for Lower Extremity Prosthetic Component L5987pdf19 KBhealth-benefits-nc-medicaidform
dma-3355 Prior Approval Form for Lower Extremity Prosthetic Component L5988pdf19 KBhealth-benefits-nc-medicaidform
dma-3400 Request for HCPCS Code Addition – Medicaid Home Health Fee Schedulepdf601 KBhealth-benefits-nc-medicaidform
dma-3504 Notice of Approval of Service Requestpdf243 KBhealth-benefits-nc-medicaidform
dma-3600 Tocolytic Prior Approval Request Formpdf34 KBhealth-benefits-nc-medicaidform
DMA-3611 Dupixent for Asthmapdf114 KBhealth-benefits-nc-medicaidform
dma-3701-ia N.C. Health Choice Extended Coveragepdf92 KBhealth-benefits-nc-medicaidform
dma-3701sp-ia Cobertura Extendida de NC Health Choicepdf64 KBhealth-benefits-nc-medicaidform
dma-372-124-ach-ia Adult Care Home FL2 Formpdf213 KBhealth-benefits-nc-medicaidform
dma-5001sp AVISO DEL USO DE NUMEROS DE SEGURO SOCIAL Feb 04, 2022health-benefits-nc-medicaidform
dma-5004 Buy-In Clerical Actionpdf204 KBhealth-benefits-nc-medicaidform
DMA-5008a North Carolina division of Medical Assistance Adult Budget Sheetpdf189 KBhealth-benefits-nc-medicaidform
dma-5008b-ia Long Term Care Budget Supplement B to DMA-5008pdf130 KBhealth-benefits-nc-medicaidform
dma-5008c Spouse and Dependent Income Allowance Worksheetpdf51 KBhealth-benefits-nc-medicaidform
dma-5008c-ia Spouse and Dependent Income Allowance Worksheetpdf63 KBhealth-benefits-nc-medicaidform
dma-5008e ABD Medicaid Parent to Child Deeming Budget Sheetpdf46 KBhealth-benefits-nc-medicaidform
dma-5008e-ia ABD Medicaid Parent to Child Deeming Budget Sheetpdf85 KBhealth-benefits-nc-medicaidform
dma-5009 Social History Summary for the Disabledpdf25 KBhealth-benefits-nc-medicaidform
dma-5009-ia Social History Summary for the Disabledpdf51 KBhealth-benefits-nc-medicaidform
dma-5010-ia Referral for Inpatient Hospital and Intermediate Care Facility in State Mental Hospital/State Mental Retardation Centerspdf474 KBhealth-benefits-nc-medicaidform
dma-5011-ia Managed Care Organization (MCO) Health Plan Welcome Letterpdf104 KBhealth-benefits-nc-medicaidform
dma-5011a CAP Indicator Letter (Memorandum)pdf11 KBhealth-benefits-nc-medicaidform
dma-5012 Managed Care Organization (MCO) Health Plan Transfer Letterpdf12 KBhealth-benefits-nc-medicaidform
dma-5020 Notice of Case Statuspdf77 KBhealth-benefits-nc-medicaidform
dma-5020-ia Notice of Case Statuspdf58 KBhealth-benefits-nc-medicaidform
dma-5022-ia Eligibility Information Systempdf160 KBhealth-benefits-nc-medicaidform
dma-5024sp-ia Notificacion de Solicitud de Transporte Jan 26, 2021health-benefits-nc-medicaidform
dma-5026 Notice of Obligation to Apply for Veteran’s Benefitspdf23 KBhealth-benefits-nc-medicaidform
dma-5027 Verification of VA Benefitspdf23 KBhealth-benefits-nc-medicaidform
dma-5031A Verification of Pregnancypdf27 KBhealth-benefits-nc-medicaidform
dma-5032 Presumptive Eligibility Determination Form for Pregnancy – Related Carepdf129 KBhealth-benefits-nc-medicaidform
dma-5032-(H) Presumptive Eligibility Determination by Hospitalpdf522 KBhealth-benefits-nc-medicaidform
dma-5032sp Formulario De Determinación De Elegibilidad Presunta Para Recibir Atención Relacionada Con El Embarazopdf43 KBhealth-benefits-nc-medicaidform
dma-5033 Presumptive Eligibility Transmittal Formpdf44 KBhealth-benefits-nc-medicaidform
dma-5033sp Formulario De Transmisión De Elegibilidad Presuntapdf26 KBhealth-benefits-nc-medicaidform
dma-5034 Presumptive Eligibility Income Checklistpdf149 KBhealth-benefits-nc-medicaidform
dma-5034sp Lista de Verification de Ingresos Para Elegibilidad Presuntapdf79 KBhealth-benefits-nc-medicaidform
dma-5035 Presumptive Eligibility Denialpdf78 KBhealth-benefits-nc-medicaidform
dma-5035sp Denegacion de Elegibilidad Presuntapdf17 KBhealth-benefits-nc-medicaidform
dma-5036 Record of Medical Expenses Applied to the Deductiblepdf200 KBhealth-benefits-nc-medicaidform
dma-5037 Medical Provider Verification Formpdf12 KBhealth-benefits-nc-medicaidform
dma-5039 Right to Rebut Value of Vehiclespdf11 KBhealth-benefits-nc-medicaidform
dma-5041 Doctor’s Statement of Due Datepdf16 KBhealth-benefits-nc-medicaidform
dma-5042 Mail-In Application, Additional Informationpdf11 KBhealth-benefits-nc-medicaidform
dma-5042-ia Additional Information Needed for Mail-In Applicationpdf29 KBhealth-benefits-nc-medicaidform
dma-5043 Self-Employment Income and Expenses Verification Formpdf20 KBhealth-benefits-nc-medicaidform
dma-5043-ia Self-Employment Income and Expenses Verification Formpdf81 KBhealth-benefits-nc-medicaidform
dma-5044 Consent for Release of Informationpdf22 KBhealth-benefits-nc-medicaidform
dma-5045 Certification of Need For Institutional Care for Individual Under Age 21pdf18 KBhealth-benefits-nc-medicaidform
dma-5049-ia Referral to Local Social Security Officepdf209 KBhealth-benefits-nc-medicaidform
dma-5050-ia Emergency Certification for Medicaidpdf73 KBhealth-benefits-nc-medicaidform
dma-5055-ia Third Party Resource Transmittalpdf16 KBhealth-benefits-nc-medicaidform
dma-5057 Explanation Of The Effect Of Transfer Of Asset (s) On Medical Assistance Eligibilitypdf30 KBhealth-benefits-nc-medicaidform
dma-5057sp Explicación De Los Efectos De La Transferencia De Activos Sobre La Elegibilidad Para Asistencia Médicapdf32 KBhealth-benefits-nc-medicaidform
dma-5058 Participating Telephone Service Providerspdf19 KBhealth-benefits-nc-medicaidform
dma-5066 NC Health Choice/Medicaid Mail-In Applications – Logpdf40 KBhealth-benefits-nc-medicaidform
dma-5066-ia NC Health Choice/Medicaid Mail-In Applications – Logpdf32 KBhealth-benefits-nc-medicaidform
dma-5069 Special Health Care Needs Questionnairepdf68 KBhealth-benefits-nc-medicaidform
dma-5069sp Cuestionario para Necesidades Especiades de Saludpdf99 KBhealth-benefits-nc-medicaidform
dma-5071i NC Health Choice Designation of Authorized Representative Formpdf62 KBhealth-benefits-nc-medicaidform
dma-5071sp NC Health Choice: Designación De Representante Autorizopdf86 KBhealth-benefits-nc-medicaidform
dma-5072i NC Health Choice First Level Review Request Formpdf174 KBhealth-benefits-nc-medicaidform
dma-5072sp Explicación Del Proceso De Revisión De Primer Nivelpdf62 KBhealth-benefits-nc-medicaidform
dma-5073-ia NC Health Choice – External Second Level Review Request Formpdf253 KBhealth-benefits-nc-medicaidform
dma-5073sp Explanación Del Proceso De Revisión De Segundo Nivelpdf270 KBhealth-benefits-nc-medicaidform
dma-5076 Pregnancy Medical Home Handoutpdf26 KBhealth-benefits-nc-medicaidform
dma-5076sp Folleto de Pregnancy Medical Homepdf22 KBhealth-benefits-nc-medicaidform
dma-5086 Request for Access to DHHS Provider Penalty Tracking Databasepdf70 KBhealth-benefits-nc-medicaidform
dma-5093-ia DAILY RECEPTION LOG FOR MEDICAL AND FINANCIAL ASSISTANCEpdf60 KBhealth-benefits-nc-medicaidform
dma-5094 Notice of Your Right to Apply for Benefitspdf36 KBhealth-benefits-nc-medicaidform
dma-5094sp Aviso de Su Derecho a Solicitar Beneficiospdf80 KBhealth-benefits-nc-medicaidform
dma-5095 Medicaid/Work First Notice of Inquirypdf102 KBhealth-benefits-nc-medicaidform
dma-5095-ia Medicaid/Work First Notice of Inquirypdf101 KBhealth-benefits-nc-medicaidform
dma-5095sp-ia Aviso De Indagacion Sobre Medicaid/Work Firstpdf72 KBhealth-benefits-nc-medicaidform
dma-5096-ia Documentation of Needpdf174 KBhealth-benefits-nc-medicaidform
dma-5097-ia Request for Informationpdf51 KBhealth-benefits-nc-medicaidform
dma-5097sp Solicitud de informaciónpdf41 KBhealth-benefits-nc-medicaidform
dma-5098sp-ia Su Solicitud Para Medicaid Esta Pendientepdf85 KBhealth-benefits-nc-medicaidform
dma-5100 Notice of Medicaid Redeterminationpdf20 KBhealth-benefits-nc-medicaidform
dma-5100sp Aviso De Redeterminación De Medicaidpdf20 KBhealth-benefits-nc-medicaidform
dma-5100sp Aviso De Redeterminación De Medicaidpdf29 KBhealth-benefits-nc-medicaidform
dma-5101 Notice of Approvalpdf28 KBhealth-benefits-nc-medicaidform
dma-5102 SSI Denialpdf20 KBhealth-benefits-nc-medicaidform
dma-5102sp Negación de SSIpdf20 KBhealth-benefits-nc-medicaidform
dma-5103D SSI Medicaid Denial Due to Refusal to Provide Health Insurance Informationpdf20 KBhealth-benefits-nc-medicaidform
dma-5103Dsp Denegación De Medicaid Por Medio De La Ssi Debido A La Negativa De Suministrar Información Sobre El Seguro De Saludpdf20 KBhealth-benefits-nc-medicaidform
dma-5103T SSA Medicaid Termination Due to Refusal to Provide Health Insurance Informationpdf20 KBhealth-benefits-nc-medicaidform
dma-5103Tsp Cancelación De Medicaid Por Medio De La Ssi Debido A La Negativa De Suministrar Información Sobre El Seguro De Saludpdf20 KBhealth-benefits-nc-medicaidform
dma-5105 Adult Mail-In Application Logpdf17 KBhealth-benefits-nc-medicaidform
dma-5105-ia Adult Mail-In Application Logpdf32 KBhealth-benefits-nc-medicaidform
dma-5108 Provider Transportation Recordpdf80 KBhealth-benefits-nc-medicaidform
dma-5109 Model No-Show Policy for Community Transportation Systemspdf116 KBhealth-benefits-nc-medicaidform
dma-5110-ia Disclosure of Annuitiespdf26 KBhealth-benefits-nc-medicaidform
dma-5111-ia Verification of Annuities Propertiespdf82 KBhealth-benefits-nc-medicaidform
dma-5112-ia Informational Notice Regarding Annuities and Medicaid Eligibilitypdf26 KBhealth-benefits-nc-medicaidform
dma-5113-ia Notification of Right to Request an Undue Hardship Waiver (Transfer of Assets)pdf31 KBhealth-benefits-nc-medicaidform
dma-5114-ia Request for Documentation for Undue Hardship Claimpdf29 KBhealth-benefits-nc-medicaidform
dma-5115-ia Notification of Right to Request a Demonstrated Hardship Waiver (Home Equity Value)pdf28 KBhealth-benefits-nc-medicaidform
dma-5122 Community Spouse Resource Protection Worksheetpdf142 KBhealth-benefits-nc-medicaidform
dma-5124 Medicaid Transportation Provider Documentationpdf31 KBhealth-benefits-nc-medicaidform
dma-5124a Medicaid Transportation Provider Documentation Addendumpdf84 KBhealth-benefits-nc-medicaidform
dma-5127 Notice of Reactivating The Health Check/Health Choice Programpdf55 KBhealth-benefits-nc-medicaidform
dma-5127sp Notice of Reactivating The Health Check/Health Choice Programpdf54 KBhealth-benefits-nc-medicaidform
dma-5128 Health Choice Enrollment & Waiting List Notificationpdf25 KBhealth-benefits-nc-medicaidform
dma-5128sp Registro de Health Choice & Lista de Espera Notificationpdf44 KBhealth-benefits-nc-medicaidform
dma-5131 FAX Request Form – From County DSS to EOIRpdf21 KBhealth-benefits-nc-medicaidform
dma-5132 FAX Request Form – From County DSS to USCISpdf24 KBhealth-benefits-nc-medicaidform
dma-5133 Emergency Medical Services Request for Informationpdf13 KBhealth-benefits-nc-medicaidform
dma-5134 Emergency Medical Services Request for Missing Informationpdf20 KBhealth-benefits-nc-medicaidform
dma-5135 Dates of Emergency Services Requested for an Alienpdf39 KBhealth-benefits-nc-medicaidform
dma-5141 Medicare/Medicare Part B Enrollment Advisory Letter (Automated)pdf27 KBhealth-benefits-nc-medicaidform
dma-5146 Health Coverage for Workers with Disabilities Premium Noticepdf28 KBhealth-benefits-nc-medicaidform
dma-5147 HCWD Denial for Non-Payment of Premiumpdf21 KBhealth-benefits-nc-medicaidform
dma-5148 HCWD Termination for Non-Payment of Premiumspdf22 KBhealth-benefits-nc-medicaidform
dma-5149 HCWD Enrollment Fee Noticepdf11 KBhealth-benefits-nc-medicaidform
dma-5150 Documentation of Passalong Eligibility or Ineligibilitypdf11 KBhealth-benefits-nc-medicaidform
dma-5150A Screening for Medicaid under the COLA Passalongpdf18 KBhealth-benefits-nc-medicaidform
dma-5151 Health Coverage For Workers With Disabilities (HCWD) Medical Information Release Authorizationpdf11 KBhealth-benefits-nc-medicaidform
dma-5153 North Carolina Residency Applicant Declarationpdf12 KBhealth-benefits-nc-medicaidform
dma-5153sp Declaración del solicitante de residencia en Carolina del Nortepdf78 KBhealth-benefits-nc-medicaidform
dma-5154 County Transfer Letterpdf19 KBhealth-benefits-nc-medicaidform
dma-5154-ia County Transfer Letterpdf31 KBhealth-benefits-nc-medicaidform
dma-5155 Verification of Cash Value of Life Insurancepdf18 KBhealth-benefits-nc-medicaidform
dma-5156 Statement of Outstanding Checkspdf11 KBhealth-benefits-nc-medicaidform
dma-5157 Notice of Total Countable Resources; Right To Rebut Valuepdf16 KBhealth-benefits-nc-medicaidform
DMA-5157 SP Notice of Total Countable Resources; Right to Rebute Valuepdf160 KBhealth-benefits-nc-medicaidform
dma-5158 INCOME PRODUCING PROPERTY GUIDEpdf102 KBhealth-benefits-nc-medicaidform
dma-5159 Statement of Intent to Return Homepdf12 KBhealth-benefits-nc-medicaidform
dma-5160 Statement Of Spouse Or Dependent Relative In The Homepdf12 KBhealth-benefits-nc-medicaidform
dma-5161 Transfer Of Asset Below Current Market Value Important Noticepdf24 KBhealth-benefits-nc-medicaidform
dma-5167 County Analysis – Non-Compliance with Processing Thresholds or Thresholds for Denials, Withdrawals, Inquiriespdf383 KBhealth-benefits-nc-medicaidform
dma-5168 Actions Taken On Improper Denials, Withdrawals, Or Inquiries Identified In Monitoringpdf177 KBhealth-benefits-nc-medicaidform
dma-5169 Report Card Analysispdf186 KBhealth-benefits-nc-medicaidform
dma-5171 Approval Notice For Retroactive Medicaid Benefitspdf12 KBhealth-benefits-nc-medicaidform
dma-5172 Erroneous Authorization Dates of Medicaid Eligibilitypdf14 KBhealth-benefits-nc-medicaidform
dma-5175 Marriage Verificationpdf11 KBhealth-benefits-nc-medicaidform
dma-5176 U.S. Citizenship Documentation Birth Certificate Requestpdf12 KBhealth-benefits-nc-medicaidform
dma-5178 U.S. Citizenship Documentation Desk Referencepdf37 KBhealth-benefits-nc-medicaidform
dma-5180 SSI Check Terminated: Information Needed to Determine Medicaid Eligibilitypdf336 KBhealth-benefits-nc-medicaidform
dma-5181 Calculating Penalty Period – Transfers 11/1/07 or Laterpdf19 KBhealth-benefits-nc-medicaidform
dma-5182 Notice Of Cooperation In Establishing Paternity And Or Medical Supportpdf13 KBhealth-benefits-nc-medicaidform
dma-5183 Presumptive Eligibility Logpdf27 KBhealth-benefits-nc-medicaidform
dma-5199-ia Medicaid Renewal Request for Information Noticepdf374 KBhealth-benefits-nc-medicaidform
dma-5199sp-ia Aviso de pedido de información para la renovación de Medicaidpdf282 KBhealth-benefits-nc-medicaidform
dma-5202A-ia Health Coverage from Jobs – Appendix Apdf677 KBhealth-benefits-nc-medicaidform
dma-5202Asp-ia Apéndice A – Coberta de salud de empleospdf241 KBhealth-benefits-nc-medicaidform
dma-5202B-ia American Indian or Alaska Native Family Member (AI/AN) – Appendix Bpdf37 KBhealth-benefits-nc-medicaidform
dma-5202Bsp-ia Apéndice B – Miembro de la familia amerindio o nativo de Alaska (AI/AN)pdf167 KBhealth-benefits-nc-medicaidform
dma-5202Csp-ia Apéndice C – Designación de representante autorizadopdf227 KBhealth-benefits-nc-medicaidform
DMA-5202D-ia Income/Resources – Appendix Dpdf702 KBhealth-benefits-nc-medicaidform
DMA-5202DSp-ia Apéndice D – Ingresos/Recursospdf308 KBhealth-benefits-nc-medicaidform
DMA-7010 Reports of Referrals to Law Enforcementpdf71 KBhealth-benefits-nc-medicaidform
DMA-7057 Referral For Investigationpdf14 KBhealth-benefits-nc-medicaidform
DMA-7098-ia Request and Authorization to Disclose Health Informationpdf47 KBhealth-benefits-nc-medicaidform
DMA-9001 Carolina ACCESS Complaint Form Instructionspdf42 KBhealth-benefits-nc-medicaidform
DMA-9002-ia CCNC/CA – Medical Exemption Requestpdf60 KBhealth-benefits-nc-medicaidform
DMA-9006 Carolina ACCESS Enrollment Form for Recipients of Medicaid and Health Choicepdf70 KBhealth-benefits-nc-medicaidform
DMA-9006-ia Carolina ACCESS Enrollment Formpdf43 KBhealth-benefits-nc-medicaidform
DMA-9007 Mail-In Application/Reenrollment Formpdf74 KBhealth-benefits-nc-medicaidform
DMA-9008-SSI Recipient without Medicarepdf63 KBhealth-benefits-nc-medicaidform
DMA-9009 SSI Recipient with Medicarepdf49 KBhealth-benefits-nc-medicaidform
DMA-9010 County Transferpdf53 KBhealth-benefits-nc-medicaidform
DMA-9011 Change in Primary Doctor Practicepdf53 KBhealth-benefits-nc-medicaidform
DMA-9012 Primary Care Provider Disenrolls Recipientpdf59 KBhealth-benefits-nc-medicaidform
DMA-9013 Recipient with a Temporary Exemptpdf65 KBhealth-benefits-nc-medicaidform
DMA-9016 CCNC/CA The Benefits of Being A Member-Medicaidpdf79 KBhealth-benefits-nc-medicaidform
DMA-9016sp CCNC/CA: Las Ventajas de Ser Mirembro-Medicaidpdf16 KBhealth-benefits-nc-medicaidform
DMA-9017 CCNC/CA: The Benefits of Being a Member-NCHCpdf118 KBhealth-benefits-nc-medicaidform
DMA-9017sp CCNC/CA, Los Beneficios de Ser Miembro-NCHCpdf123 KBhealth-benefits-nc-medicaidform
DMA-9050-ia Nursing Home Notice of Transfer/Dischargepdf77 KBhealth-benefits-nc-medicaidform
DMA-9051-ia Nursing Home Hearing Request Formpdf69 KBhealth-benefits-nc-medicaidform
DMA-9052-ia Adult Care Home Notice of Transfer/Dischargepdf85 KBhealth-benefits-nc-medicaidform
DMA-9053-ia Adult Care Home Hearing Request Formpdf61 KBhealth-benefits-nc-medicaidform
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)pdf157 KBadult-medicaid health-benefits-nc-medicaidadministrative-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)pdf157 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-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-lRAAFpdf2 MBadult-medicaid health-benefits-nc-medicaidadministrative-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-lRAAFpdf2 MBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-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 IRAAFpdf31 KBadult-medicaid health-benefits-nc-medicaidadministrative-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 IRAAFpdf31 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-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) Enhancementspdf499 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-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)pdf53 KBadult-medicaid health-benefits-nc-medicaidadministrative-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)pdf53 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidadministrative-letter
DSS-8110 CHANGE/TERMINATION ADEQUATEpdf133 KBhealth-benefits-nc-medicaidform
DSS-8110 CHANGE/TERMINATION TIMELYpdf121 KBhealth-benefits-nc-medicaidform
DSS-8110 CONTINUINGpdf107 KBhealth-benefits-nc-medicaidform
DSS-8110 Transitionalpdf177 KBhealth-benefits-nc-medicaidform
DSS-8110sp CHANGE/TERMINATION ADEQUATEpdf105 KBhealth-benefits-nc-medicaidform
DSS-8110sp CHANGE/TERMINATION TIMELYpdf91 KBhealth-benefits-nc-medicaidform
DSS-8110sp CONTINUINGpdf134 KBhealth-benefits-nc-medicaidform
DSS-8110sp Transitionalpdf184 KBhealth-benefits-nc-medicaidform
EIS-1105 STATE DATA EXCHANGE (SDX)pdf293 KBhealth-benefits-nc-medicaid medicaid-eligibility-information-system-eismanual
EIS-4000 CODES APPENDIX B – MEDICAID CODESpdf342 KBhealth-benefits-nc-medicaid medicaid-eligibility-information-system-eismanual
EIS-4000 CODES APPENDIX E – TRANSITIONAL CODESpdf72 KBhealth-benefits-nc-medicaid medicaid-eligibility-information-system-eismanual
EIS-4000 CODES APPENDIX TABLE OF CONTENTSpdf285 KBhealth-benefits-nc-medicaid medicaid-eligibility-information-system-eismanual
FAMILY AND CHILDREN’S MEDICAID TABLE OF CONTENTSpdf122 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA- 200 Definitionspdf160 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA- 300 Confidentialitypdf111 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA- 400 Introduction to Medicaidpdf32 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA- 500 Classificationpdf112 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-1000 SSI MEDICAID AUTOMATED PROCESSpdf285 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-1100 SSI Medicaid-County DSS Responsibilitypdf240 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2000 NON-SSI ELIGIBILITY REGULATIONSpdf47 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2100 CATEGORICALLY NEEDY-NO MONEY PAYMENTpdf21 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2110 PASSALONGpdf236 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2120 MEDICALLY NEEDY REGULATIONS{ XE “MEDICALLY NEEDY REGULATIONS” }pdf23 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2130 QUALIFIED MEDICARE BENEFICIARIES – Qpdf169 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2140 QUALIFIED MEDICARE BENEFICIARIES – Bpdf171 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2150 MEDICAID-WORKING DISABLEDpdf24 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2160 QUALIFIED INDIVIDUAL – MQB-Epdf170 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2170 FAMILY PLANNING PROGRAMpdf123 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2180 HEALTH COVERAGE FOR WORKERS WITH DISABILITIESpdf331 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2180 HEALTH COVERAGE FOR WORKERS WITH DISABILITIES – 2019 HCWD Premiumspdf122 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2220 STATE RESIDENCYpdf187 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2221 COUNTY RESIDENCEpdf85 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2230 FINANCIAL RESOURCESpdf791 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2231 COMMUNITY SPOUSE RESOURCE PROTECTIONpdf207 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2240 TRANSFER OF ASSETSpdf425 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2242 HOME EQUITY VALUE & ELIGIBILITY FOR INSTITUTIONAL SERVICESpdf134 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2245 UNDUE HARDSHIP WAIVER FOR TRANSFER OF ASSETSpdf93 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2250 INCOMEpdf571 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2251 REASONABLE COMPATIBILITYpdf154 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2251 Reasonable Compatibility Calculator-20% Effective January 16, 2023xlsx12 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2252 2018 NON-MAGI MEDICAID INCOME/RESERVE LIMITSpdf126 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2252 2019 NON-MAGI MEDICAID INCOME/RESERVE LIMITSpdf134 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2252 2020 NON-MAGI MEDICAID INCOME/RESERVE LIMITSpdf130 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2252 2021 NON-MAGI MEDICAID INCOME/RESERVE LIMITSpdf131 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2252 2022 NON-MAGI MEDICAID INCOME/RESERVE LIMITSpdf132 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2252 2023 NON-MAGI MEDICAID INCOME/RESERVE LIMITSpdf147 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2260 FINANCIAL ELIGIBILITY REGULATIONS-PLApdf214 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2261 1/3 REDUCTIONpdf20 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2262 SPONSOR DEEMINGpdf137 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2270 LONG TERM CARE NEED AND BUDGETINGpdf500 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2270 LTC Evidence Changes Prior to Eligibility Determination Listservpdf58 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2270 Prepaid Health Plan Notification of Nursing Facility Level of Care Formpdf128 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2275 PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE)pdf356 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2280 COMMUNITY ALTERNATIVES PROGRAM (CAP)pdf187 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2282 INNOVATIONSpdf309 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2283 TRAUMATIC BRAIN INJURY (TBI)pdf227 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2284 MONEY FOLLOWS THE PERSONpdf203 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2285 ESTATE RECOVERYpdf572 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2290 MANAGED CAREpdf234 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2295 DISCOURAGEMENTpdf74 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2296 INQUIRYpdf154 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2300 APPLICATIONpdf357 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2301 POST ELIGIBILITY VERIFICATIONpdf337 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2302 OUTSTATIONSpdf145 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2305 EVALUATING COUNTY/DDS PERFORMANCEpdf199 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2306 APPLICATION PROCESSING – CORRECTIVE ACTION PROCEDURESpdf189 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2309 LIS APPLICATION FOR MEDICAIDpdf48 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2310 TAKING THE LIS APPLICATIONpdf189 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2311 LIS PROCESSING AND MAINTENANCEpdf217 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2312 MEDICARE PRESCRIPTION DRUG BENEFITpdf117 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2320 RECERTIFICATIONpdf314 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2321 MEDICALLY NEEDY RECERTIFICATIONpdf310 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2340 CHANGE IN SITUATIONpdf227 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2350 CERTIFICATION AND AUTHORIZATIONpdf9 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2352 CHANGE IN CIRCUMSTANCE, TERMINATIONS, AND REOPENINGpdf466 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2355 MAABD/MQB PROGRAM TRANSFERSpdf27 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2360 MEDICAID DEDUCTIBLEpdf283 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2375 CHILD SUPPORTpdf153 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2380 MEDICAID IDENTIFICATION CARDpdf74 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2395 CORRECTIVE ACTION AND RESPONSIBILITY FOR ERRORSpdf567 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2395 Medicaid Procedures for Requesting Corrections – DSS Support Unitpdf567 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2400 Additions/Terminations/Changes to Third Party Insurance Listserv (August 10, 2020)pdf112 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2400 THIRD PARTY RECOVERYpdf124 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2410 MEDICARE ENROLLMENT & BUY-INpdf474 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2420 DHB -DSS 8110 DESK REFERENCE TOOLpdf681 KBadult-medicaid health-benefits-nc-medicaidtool
MA-2420 NOTICE AND HEARINGS PROCESSpdf318 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2425 COMMUNITY CARE OF NORTH CAROLINA (CCNC)/CAROLINA ACCESS (CA)pdf181 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2430 AUTOMATED INQUIRY AND MATCH PROCEDURESpdf249 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2440 AUTOMATED SOLQ PROCEDURESpdf34 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2450 ENUMERATIONpdf166 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2500 AGE/NAME/MARITAL STATUSpdf60 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2504 ALIEN REQUIREMENTSpdf811 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2505 CITIZENSHIP/IDENTITY SSA DATA MATCHpdf93 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2506 US CITIZENSHIP REQUIREMENTSpdf206 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2507 TRIBAL MEMBERSHIP AND AMERICAN INDIAN HEALTH SERVICEpdf185 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2510 LIVING ARRANGEMENTpdf341 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2525 DISABILITYpdf288 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2531 BLINDNESS – MABpdf27 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2900 RECIPIENT FRAUD AND ABUSE POLICY AND PROCEDURESpdf1 MBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2905- MEDICAID COVERED SERVICESpdf555 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2910 – NON-EMERGENCY MEDICAL TRANSPORTATION (NEMT)pdf561 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2930 2023-2024 County Internal Inspection Schedulexlsx13 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2930 SECURITY OF INTERNAL REVENUE SERVICE AND SOCIAL SECURITY ADMINISTRATION INFORMATIONpdf225 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-2940 SOCIAL SECURITY COST-OF-LIVING ADJUSTMENT (COLA)pdf148 KBadult-medicaid health-benefits-nc-medicaidpolicy
MA-3100 INTRODUCTIONpdf382 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3110 DEFINITIONSpdf273 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3120 SSI MEDICAIDpdf211 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3185 DISCOURAGEMENTpdf117 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3190 INQUIRYpdf133 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3200 APPLICATIONpdf337 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3205 POST ELIGIBILITY VERIFICATIONpdf112 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3207 OUTSTATIONSpdf125 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3217 EVALUATING COUNTY/DDS PERFORMANCEpdf227 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3225 APPLICATION PROCESSING – CORRECTIVE ACTION PROCEDURESpdf198 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3230 AUTO NEWBORNpdf135 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3231 ADOPTION MEDICAL ASSISTANCEpdf142 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3232 FOSTER CARE MEDICAL ASSISTANCEpdf149 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3233 FORMER FOSTER CARE CHILDREN (MFC)pdf40 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3234 EXPANDED FOSTER CARE PROGRAM (EFCP)pdf37 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3235 CARETAKER RELATIVES/KINSHIPpdf181 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3236 MAGI ADULT MEDICAID EXPANSIONpdf176 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3240 PREGNANT WOMAN COVERAGEpdf260 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3245 PRESUMPTIVE ELIGIBILITY FOR PREGNANT WOMENpdf400 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3246 HOSPITAL PRESUMPTIVE ELIGIBILITYpdf176 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3250 BREAST AND CERVICAL CANCER MEDICAID (BCCM)pdf168 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3260 COMMUNITY ALTERNATIVES PROGRAM (CAP)pdf212 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3262 MONEY FOLLOWS THE PERSONpdf181 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3263 MANAGED CAREpdf216 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3265 FAMILY PLANNING PROGRAMpdf142 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3270 PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE)pdf129 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3300 INCOMEpdf569 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3305 MAF, MIC, HSF BUDGETINGpdf266 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3306 DESK TOOL REFERENCE – CONSTRUCTING THE MAGI HOUSEHOLDpdf168 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3306 DESK TOOL REFERENCE – MAGI HOUSEHOLD COMPOSITION CHARTpdf115 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3306 MODIFIED ADJUSTED GROSS INCOME (MAGI)pdf422 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3310 REASONABLE COMPATIBILITYpdf190 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3313 SPONSOR DEEMINGpdf140 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3315 MEDICAID DEDUCTIBLEpdf315 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3320 RESOURCESpdf226 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3321 2018 MAGI MEDICAID/NCHC INCOME LIMITSdoc126 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3321 2019 MAGI MEDICAID/NCHC INCOME LIMITSdoc110 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3321 2020 MAGI MEDICAID/NCHC INCOME LIMITSpdf121 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3321 2021 MAGI MEDICAID/NCHC INCOME LIMITSpdf122 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3321 2022 MAGI MEDICIAD/NCHC INCOME LIMITSpdf122 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3321 2023 MAGI MEDICAID INCOME LIMITSpdf224 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3321 2023 MAGI MEDICAID INCOME LIMITS WITH MXPpdf107 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3321 MAGI MEDICAID & MEDICAID EXPANSION INCOME LIMITSpdf107 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3322 COMMUNITY SPOUSE RESOURCE PROTECTIONpdf92 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3325 LONG TERM CARE BUDGETINGpdf116 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3326 ESTATE RECOVERYpdf262 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3330 ALIEN REQUIREMENTSpdf503 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3331 CITIZENSHIP/IDENTITY SSA DATA MATCHpdf93 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3332 US CITIZENSHIP REQUIREMENTSpdf206 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3333 TRIBAL MEMBERSHIP AND AMERICAN INDIAN HEALTH SERVICEpdf186 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3335 STATE RESIDENCYpdf190 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3340 COUNTY RESIDENCEpdf112 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3345 AGE/NAME/MARITAL STATUSpdf52 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3355 ENUMERATIONpdf170 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3360 LIVING ARRANGEMENTpdf404 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3365 CHILD SUPPORTpdf157 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3400 FOUR MONTHS TRANSITIONAL MEDICAIDpdf83 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3405 TWELVE MONTHS TRANSITIONAL MEDICAIDpdf204 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3410 CHANGE IN CIRCUMSTANCE, TERMINATIONS, AND REOPENINGpdf281 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3415 CLASSIFICATION AND EVALUATIONpdf44 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3420 MEDICALLY NEEDY RECERTIFICATIONpdf397 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3421 MAGI RECERTIFICATIONpdf529 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3425 CERTIFICATION AND AUTHORIZATIONpdf75 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3430 NOTICE AND HEARINGS PROCESSpdf348 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3435 COMMUNITY CARE OF NORTH CAROLINA (CCNC)/CAROLINA ACCESS (CA)pdf194 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3500 CONFIDENTIALITYpdf109 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3505 MEDICAID IDENTIFICATION CARDpdf74 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3510 THIRD PARTY RECOVERYpdf120 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3515 AUTOMATED INQUIRY AND MATCH PROCEDURESpdf261 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3520 AUTOMATED SOLQ PROCEDURESpdf22 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3525 MEDICARE ENROLLMENT & BUY-INpdf233 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3530 CORRECTIVE ACTION AND RESPONSIBILITY FOR ERRORSpdf166 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3535 RECIPIENT FRAUD AND ABUSE POLICY AND PROCEDURESpdf2 MBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3540 MEDICAID COVERED SERVICESpdf554 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3550 NON-EMERGENCY MEDICAL TRANSPORTATION (NEMT)pdf627 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3560 2023 – 2024 COUNTY INTERNAL INSPECTION SCHEDULExlsx13 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3560 SECURITY OF INTERNAL REVENUE SERVICE AND SOCIAL SECURITY ADMINISTRATION INFORMATIONpdf247 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
MA-3570 SOCIAL SECURITY COST-OF-LIVING ADJUSTMENT (COLA)pdf172 KBfamily-and-childrens-medicaid health-benefits-nc-medicaidmanual
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) Enhancementspdf499 KBadult-medicaid health-benefits-nc-medicaidadministrative-letter
X/PTR – REPORT DISTRIBUTION SYSTEMpdf148 KBhealth-benefits-nc-medicaid medicaid-eligibility-information-system-eismanual