Department of Health and Human Services

State of North Carolina

Official Website: https://www.ncdhhs.gov

The Department of Health and Human Services manages the delivery of health- and human-related services for all North Carolinians, especially our most vulnerable citizens – children, elderly, disabled and low-income families. The Department works closely with health care professionals, community leaders and advocacy groups; local, state and federal entities; and many other stakeholders to make this happen.

Forms & Documents

Browse all Department of Health and Human Services government forms

661 - 680 of 982 forms

Form Title Topics
Nursing Home Hearing Request Form Division Of Medical Assistance
Nursing Home Notice of Transfer/Discharge Division Of Medical Assistance
Onsite Review Instrument and Instructions Division Of Social Services
Oral Nutrition Product Request Form Division Of Medical Assistance
Order Form for NC Medicaid Consumer Guides Division Of Medical Assistance
Order for Report on Proposed Adoption Division Of Social Services
Overissuance Repayment Agreement Division Of Social Services
Overpayment Calculation Division Of Aging And Adult Services
PACE Application Report Division Of Medical Assistance
PACE Referral Request For A Medicaid Hearing Division Of Medical Assistance
Paid in Full Notice Division Of Social Services
Part 1, Report on Local Hearings - Summary Division Of Social Services
Participating Telephone Service Providers Division Of Medical Assistance
Part II, Report on Local Hearings Division Of Social Services
PCS for Licensed ACH Residents - Independent Assessment request for New Residents Division Of Medical Assistance
PCS Medical Attestation for Licensed Care Home Residents Division Of Medical Assistance
Personal Care Services EPSDT Short-Term Increase-In-Hours Request Form Division Of Medical Assistance
Personal Care Services (PCS) ICD-10 Transition Form Division Of Medical Assistance
Personal Care Services (PCS) ICD-10 Transition Form - Instructions Division Of Medical Assistance
Personalized Domestic Violence Safety Plan Division Of Social Services

Contact Information & Office Locations

1 contact point

Administration

Address:
20301 Mail Service Center
116 W Jones Street
Raleigh, NC 27603

Phone numbers:
  • (919) 814-2000
Fax numbers:
  • (919) 733-2120

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