Health Plan Notification of Nursing Facility Level of Care Form (NC Medicaid-2039)

Disability Determination Services (DDS)

This government document is issued by Disability Determination Services (DDS) for use in North Carolina

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File Details: PDF (171 KB)
Downloads: 4
Source
https://medicaid.ncdhhs.gov/documents/medicaid/health-plan-notification-nursing-facility-level-care-dhb-2039/download?attachment

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