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  • Dma-7059pdf Notice Of Change In Overpayment For Medical Assistance - Info Dhhs State Nc

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NOTICE OF CHANGE IN OVERPAYMENT FOR MEDICAL ASSISTANCE Date: Name: Address: Program Code: EIS Case ID: SSN: County Case ID: Dear : You were notified on that you are responsible for a medical assistance.

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Changes in earned income must be reported by the applicant/recipient within 10 calendar days of beginning the changed employment or earnings. Changes in unearned income must be reported within 10 calendar days of receipt of the changed income.

If you have questions about this change, call the ACCU-CHEK Customer Care at 1-877-906-8969. You may also go to the ACCU- CHEK web site at .accu-chek.com. When changes occur, you must report them to your county case worker. You can report changes in person, by phone, or by mail to your case worker.

Customer Service Agents are available to answer questions at this toll-free number: Phone: 800-688-6696.

Yes. In the first 90 days, you can change your health plan for any reason. After that, unless you have a special reason, you cannot change your health plan until your Medicaid recertification date. Reasons are listed on the Health Plan Change Request form.

For the Standard Plans, active NC Health Choice prior approvals will remain active and transition to NC Medicaid as of April 1, 2023. All other criteria within the prior approval will remain the same, but the health benefit will change to NC Medicaid.

NC Medicaid (Division of Health Benefits) is dedicated to providing access to physical and behavioral health care and services to improve the health and well-being of over 2.3 million North Carolinians.

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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
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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:
+1 833 426 79 33
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