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

481 - 500 of 982 forms

Form Title Topics
LIS Verification Checklist Division Of Medical Assistance
Locate Data Sheet Division Of Social Services
Long Term Care Budget Supplement B to DMA-5008 Division Of Medical Assistance
Low Income Energy Assistance Program Application Division Of Social Services
Low Income Energy Assistance Program Crisis Intervention Program Division Of Social Services
Low Income Energy Assistance Program Eligibility Worksheet Division Of Social Services
MAABD Eligibility Overview Chart Division Of Medical Assistance
Mail-In Application, Additional Information Division Of Medical Assistance
Mail-In Application/Reenrollment Form Division Of Medical Assistance
Managed Care Organization (MCO) Health Plan Transfer Letter Division Of Medical Assistance
Managed Care Organization (MCO) Health Plan Welcome Letter Division Of Medical Assistance
Marriage Verification Division Of Medical Assistance
Maternity Care Coordination Letter of Agreement Division Of Medical Assistance
MED.EYE/ Application for Eye Care Certification Division Of Services For The Blind
MED.EYE/ Application for Eye Care Certification Instructions Division Of Services For The Blind
MED.EYE/ Health Insurance Claim Form Division Of Services For The Blind
MED.EYE/ Health Insurance Claim Form Instructions Division Of Services For The Blind
MED.EYE/ Letter to Accompany Mailed Application Division Of Services For The Blind
MED.EYE/ Notification of Eligibility Status Division Of Services For The Blind
MED.EYE/ Notification of Eligibility Status Division Of Services For The Blind

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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