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

801 - 820 of 982 forms

Form Title Topics
Service Request for Home and Community-Based Services - PHYSICIANS ATTESTATION Division Of Medical Assistance
Session Law 2013-306 PCS Training Attestation Form Division Of Medical Assistance
Session Law 2013-306 PCS Training Attestation Form DMA-3085 Division Of Medical Assistance
sILS & MED.EYE/ Application for Conference Instructions Division Of Services For The Blind
Social History Summary for the Disabled Division Of Medical Assistance
Social History Summary for the Disabled Division Of Medical Assistance
Special Announcement Letter Division Of Social Services
Special Assistance Notice of County of Residence Reassignment/Transfer Division Of Aging And Adult Services
Special Assistance Notice of County of Residence Reassignment/Transfer Division Of Aging And Adult Services
Special Children's Adoption Incentive Fund - Request for Payment Division Of Social Services
Special Health Care Needs Questionnaire Division Of Medical Assistance
Spouse and Dependent Income Allowance Worksheet Division Of Medical Assistance
Spouse and Dependent Income Allowance Worksheet Division Of Medical Assistance
SSA Medicaid Termination Due to Refusal to Provide Health Insurance Information Division Of Medical Assistance
SSI Check Terminated: Information Needed to Determine Medicaid Eligibility Division Of Medical Assistance
SSI Denial Division Of Medical Assistance
SSI/Food Stamp Application Division Of Social Services
SSI Medicaid Denial Due to Refusal to Provide Health Insurance Information Division Of Medical Assistance
SSI Recipient with Medicare Division Of Medical Assistance
SSI Recipient without Medicare Division Of Medical Assistance

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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