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

   medicaid.ncdhhs.gov › apply

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   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).

   • Forms and Applications

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

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

   info.ncdhhs.gov › dhsr › formsapp

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   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.

3. www.ncdhhs.gov › divisions › child-and-family-well-beingApply for Food and Nutrition Services (Food Stamps) | NCDHHS

   www.ncdhhs.gov › divisions › child-and-family-well-being

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   There are three ways to apply. Apply online with ePASS. You may need to create an account first. Want to learn more about the ePASS application process? Watch this helpful video for a step-by-step overview. Apply in person at your Department of Social Services (DSS) office.

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

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

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   28 Ιαν 2016 · How to Fill out the Admission Applications. 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.

5. 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.

6. epass.nc.govNCDHHS - ePASS

   epass.nc.gov

   Welcome to ePASS. - ePASS is a way to apply for Benefits and services in North Carolina. - New applicants and existing beneficiaries can create an account. - An enhanced account lets you report changes and view case details online. For more information see below.

7. policies.ncdhhs.gov › divisional-n-z › social-servicesForms in English – NCDHHS Policies and Manuals

   policies.ncdhhs.gov › divisional-n-z › social-services

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   form pdf DSS-1464a: Statement of Assurance of Compliance with Title VI of the Civil Rights Act of 1964 for Other Agencies, Institutions, Organizations or Facilities