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Change in PML Request Memo to DMA Claims Analysis Unit All requests MUST have a DMA 5016 Attached (DCDL 11/20/15) FROM: IMC CONTACT #: DEPARTMENT OF SOCIAL SERVICES DATE: RE: BENEFICIARY NAME: MID#:.

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You may be able to get health care coverage through Medicaid even if you did not qualify before. NC Medicaid pays for doctor visits, yearly check-ups, emergency care, dental care, mental health and more – at little or no cost to you.

Who is eligible for California Medicaid? Household Size*Maximum Income Level (Per Year) 1 $20,030 2 $27,186 3 $34,341 4 $41,4964 more rows

(1) A valid North Carolina drivers license or other identification card issued by the North Carolina Division of Motor Vehicles. (2) A current North Carolina rent or mortgage payment receipt, or current utility bill in the name of the applicant or the applicant's legal spouse showing a North Carolina address.

Who is eligible for North Carolina Medicaid Program? Household Size*Maximum Income Level (Per Year) 1 $20,030 2 $27,186 3 $34,341 4 $41,4964 more rows

Effective Jan. 1, 2024, the federal fee for Medicaid provider enrollment increased to $709 and will be required as noted on the Provider Permission Matrix for initial enrollment, re-enrollment, and reverification applications, as well as manage change requests (MCR) to add a new site location.

North Carolina expanded who can get Medicaid starting December 1, 2023. Adults ages 19 through 64 earning up to 138% of the federal poverty line (e.g., singles earning about $1,730/month or families of three earning about $2,970/month) may be eligible.

An adult ages 19-64 may be eligible if the family income is $1,732/month or less. An adult ages 65+ may be eligible for full Medicaid if the family income is $1,255/month or less, and for other Medicaid programs if the family income is $1,695/month or less. Additional requirements apply.

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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
Bug Bounty Program
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