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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
For more information: Please contact the NCTracks Call Center at 1-800-688-6696 or by email at NCTracksprovider@nctracks.
Please contact the NCTracks Call Center at 1-800-688-6696 or by email at NCTracksprovider@nctracks.
To contact the NCTracks Call Center to inquire on recipient eligibility in NC FAST, dial 1-800-688-6696.
Providers are encouraged to discuss grievances by calling Provider Services at 1-855-738-0004.
Delegation of performance; assignment of rights. (1) A party may perform his duty through a delegate unless otherwise agreed or unless the other party has a substantial interest in having his original promisor perform or control the acts required by the contract.
Welcome to NCTracks, the multi-payer Medicaid Management Information System for the N.C. Department of Health and Human Services (N.C. DHHS). PROVIDERS - Click on the Providers tab above to enter the Provider Portal. RECIPIENTS - Click on the Recipients tab above to enter the Recipient Portal.