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1. www.ncdhhs.gov › how-fill-out-admission-applicationsHow to Fill out the Admission Applications | NCDHHS

   www.ncdhhs.gov › how-fill-out-admission-applications

   • Αποθηκευμένο αντίγραφο

   28 Ιαν 2016 · How_to_Fill_out_the_Admission_Applications.pdf. PDF • 7.37 KB - January 28, 2016. Contact Information. NC Department of Health and Human Services. 2001 Mail Service Center. Raleigh, NC 27699-2000. Customer Service Center: 1-800-662-7030. Visit RelayNC for information about TTY services. Follow Us.

   • Filling Out The Admission Applications

     b. You are back in the original/on-line Application form....

   • Forms and Applications

     Forms and Applications. Online forms are available from...

2. medicaid.ncdhhs.gov › applyHow To Apply for NC Medicaid

   medicaid.ncdhhs.gov › apply

   • Αποθηκευμένο αντίγραφο

   Download and fill out a printable application to apply by: Mail, email or fax. In person (to fill out the form ahead of time) Download Printable Application (PDF) If you are a single adult with no dependents or health care coverage from your employer, use the “short form” application (DHB-5201-ia).

3. medicaid.ncdhhs.gov › dma-5200-ia › openApplication for Health Coverage & Help Paying Costs - NC Medicaid

   medicaid.ncdhhs.gov › dma-5200-ia › open

   • Use this application to apply for anyone in your family • Apply even if you or your child already has health coverage. You could be eligible for lower-cost or free coverage. • If you’re single, you may be able to use a short form: www.ncdhhs.gov/dma/medicaid/applications.htm • Families that include immigrants can apply.

4. info.ncdhhs.gov › dhsr › formsappNC DHSR: Forms and Applications

   info.ncdhhs.gov › dhsr › formsapp

   • Αποθηκευμένο αντίγραφο

   Forms and Applications. Online forms are available from various sections of the Division of Health Service Regulation. Acute and Home Care Licensure and Certification Section. Adult Care Licensure Section. Complaint Intake and Health Care Personnel Investigations Section. Construction Section.

5. medicaid.ncdhhs.gov › providers › formsForms - NC Medicaid

   medicaid.ncdhhs.gov › providers › forms

   • Αποθηκευμένο αντίγραφο

   Medicaid forms required by the North Carolina Departments of Social Services Dental and Orthodontic Dental/orthodontic services, including prior approval, treatment extension, treatment termination and post-treatment summaries

6. epass.nc.govNCDHHS - ePASS

   epass.nc.gov

   View or print a pdf of the Medical Assistance application.

7. policies.ncdhhs.gov › wp-content › uploadsApplication for Health Coverage & Help Paying Costs - NCDHHS

   policies.ncdhhs.gov › wp-content › uploads

   application? • Use this application to apply for anyone in your family • Apply even if you or your child already has health coverage. You could be eligible for lower-cost or free coverage. • If you’re single, you may be able to use a short form: www.ncdhhs.gov/dma/medicaid/applications.htm • Families that include immigrants can apply.