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South Carolina Department of Health and Human Services APPLICATION FOR TEFRA MEDICAID COVERAGE Date Received by DHHS: 1. Name of Child (the Applicant) applying for Medicaid: Last Name: Birth Date:.

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Toll Free: (855) 632-7633. TDD: (402) 471-7256....If you need help completing your renewal, you can contact Nebraska Medicaid in any of the following ways: Online at ACCESSNebraska.ne.gov. Email at DHHS.ANDICenter@nebraska.gov. Fax at (402) 742-2351. Over the phone by calling ACCESS Nebraska at:

Phone lines are open from 8:00 a.m. to 5:00 p.m. Monday through Friday. (855) 632-7633. In Lincoln: (402) 473-7000. In Omaha: (402) 595-1178.

Call 855-632-7633.

Call the Medicaid claims customer service at (877) 255-3092 or (402) 471-9128. Provide the Medicaid claim number (if you have it) or your 11-digit Medicaid provider number, the client's 11-digit Medicaid ID number and the claim date of service.

Nebraska's Medicaid managed care program, Heritage Health , combines Nebraska Medicaid's physical health, behavioral health, and pharmacy programs into a single comprehensive and coordinated program for the state's Medicaid and Children's Health Insurance Program (CHIP) enrollees.

If residents need immediate assistance, please call 855-632-7633 for Medicaid or 800-383-4278 for Economic Assistance, or visit another local office.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Dhhs Form
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2022 SC DHHS Form 3290
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