Nc medicaid application printable version

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Application for Medicaid - DCONC

• The date of your application is the date the Department of Social Services gets your . complete. application. • Medicaid coverage can be requested for any medical bills incurred up to three months prior to the month of . application. • The date your Medicaid is started is based on the date of your application.

https://www.dconc.gov/home/showdocument?id=2547 

NC DHHS: Medicaid

NC Department of Health and Human Services 2001 Mail Service Center Raleigh, NC 27699-2000 Customer Service Center: 1-800-662-7030 For COVID-19 questions call 1-888-675-4567

https://www.ncdhhs.gov/assistance/medicaid 

Application for Health Coverage & Help Paying Costs

Print Form What Application for Health Coverage & Help Paying Costs • Free or low-cost insurance from Medicaid or North Carolina Health Choice (NCHC) • You may qualify for a free or low-cost program even if you earn as much as $94,000 a …

https://policies.ncdhhs.gov/divisional/health-benefits-nc-medicaid/forms/dma-5200-ia-application-for-health-coverage-help-paying-costs/@@display-file/form_file/dma-5200-ia.pdf 

NC.gov: e-Pass

e-Pass. Online service available. Apply online for Food and Nutrition Services, as well as Medical Assistance including Medicaid and NC Health Choice (CHIP). Medicaid and NC Health Choice Beneficiary Portal.

https://www.nc.gov/services/e-pass 

NCDHHS - ePASS

View or print a pdf of the Energy Crisis Intervention Program (CIP) application. Low Income Household Water Assistance Program (LIHWAP) paper application. View or print a pdf of the Low Income Household Water Assistance Program (LIHWAP) application. Register to vote. Register to vote in North Carolina.

http://epass.nc.gov/ 

Medicaid Application - Department of Health

Jul 01, 2021 · NEED HELP WITH YOUR APPLICATION? www.medicaid.la.gov. at. 1-888-342-6207. I . call. 1-888-342-6207. W TT . 1-800-220-5404. Application for Health Coverage. THINGS TO KNOW. Use this application : to see what : coverage choices you qualify for • Affordable private health insurance plans that offer comprehensive :

https://ldh.la.gov/assets/medicaid/MedicaidEligibilityForms/MedicaidApplicationPub.pdf 

Application for Medicaid and Affordable Health Coverage

Send your complete, signed application to the address on the signature page. If you don’t have all the information we ask for, sign and . submit your application anyway. We’ll follow-up with you within 1–2 weeks. You’ll get instructions on the next steps to complete your application for health coverage. If you don’t hear from us, visit

https://www.scdhhs.gov/sites/default/files/FM%203400.pdf 

NCID-NG User Guide

NCID User Guide Page 8 of 45 Version 1.9 1 Introduction The North Carolina Identity Management Service – Next Generation (NCID) is the standard identity and access management platform provided by the Department of Information Technology. NCID is a Web-based application that provides a secure environment for state

https://files.nc.gov/ncdit/documents/files/NCID-NG-User-Guide.pdf 

Contact Us | Medicaid

TTY Local: 410-786-0727. Medicaid.gov Mailbox: [email protected] (link sends email) For information on the organizational structure of the Centers for Medicaid and CHIP Services (CMCS), please refer to our organizational page where you can get information on the different CMCS groups and their functions.

https://www.medicaid.gov/about-us/contact-us/index.html