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Get NC DHB-5118A 2022-2024

MEDICAID TRANSPORTATION VERIFICATION OF RECEIPT OF MEDICAID COVERED SERVICE TO: Medicaid Enrolled Provider From: County Department of Social Services Note: The County has the authority to administer.

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Keywords relevant to NC DHB-5118A

  • Pursuant
  • certify
  • medicaid
  • completing
  • verification
  • enrolled
  • audit
  • recipient
  • provider
  • administer
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