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APPENDIX C Designation of Authorized Representative You can give a trusted person permission to talk about this application with us, see your information, and act for your on matters related to this.
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Designation FAQ
If you need to use your medical, pharmacy, mental health or substance use benefits before you get your Medicaid card, please call Member Services at 1-855-375-8811 (TTY 1-866-209-6421). We will give you your member ID number.
Division of Medical Assistance (DMA) is Now the Division of Health Benefits (DHB) | NC Medicaid.
“Authorized Representative” means any individual who is legally authorized or designated in writing by the applicant/recipient (a/r) to act on behalf of the applicant/recipient.
NCTracks also offers a Secure Recipient Portal where you can check your eligibility status with Medicaid, Health Choice, Public Health, and the Office of Rural Health and Community Care.
After you apply It can take up to 45 days for DSS to decide if you qualify for NC Medicaid. Disability applications can take up to 90 days. We may contact you to ask for more information.
Proof you live in North Carolina, such as a photo ID with your address, a utility bill, a lease, or documentation of employment. Employer and income information for you and everyone in your household, such as paystubs, W-2 forms, tax returns or business records. Copies of all medical or life insurance policies.
Verify eligibility, health plan and primary care provider enrollment using the NCTracks Recipient Eligibility Verification/Response or calling the NCTracks Call Center for more information: 800-688-6696.
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 $20,000/year or families of three earning about $34,000/year) may be eligible.
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