Form DAAS-8191 Special Assistance Re-enrollment Information Notice - North Carolina

Form DAAS-8191 Special Assistance Re-enrollment Information Notice - North Carolina

What Is Form DAAS-8191?

This is a legal form that was released by the North Carolina Department of Health and Human Services - a government authority operating within North Carolina. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DAAS-8191?
A: Form DAAS-8191 is a Special Assistance Re-enrollment Information Notice specifically for North Carolina.

Q: What is Special Assistance?
A: Special Assistance is a program in North Carolina that provides financial and medical assistance to low-income individuals who are aged, blind, or disabled.

Q: Who needs to fill out Form DAAS-8191?
A: The Special Assistance recipient or their authorized representative needs to fill out Form DAAS-8191.

Q: What information is included in Form DAAS-8191?
A: Form DAAS-8191 includes information about the Special Assistance program, instructions for re-enrollment, and a self-assessment questionnaire.

Q: Why is re-enrollment necessary?
A: Re-enrollment is necessary to ensure continued eligibility for the Special Assistance program.

Q: How often do I need to re-enroll in the Special Assistance program?
A: The frequency of re-enrollment depends on the recipient's age and disability status, and it is typically required every six to twelve months.

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Form Details:

  • Released on November 1, 2015;
  • The latest edition provided by the North Carolina Department of Health and Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DAAS-8191 by clicking the link below or browse more documents and templates provided by the North Carolina Department of Health and Human Services.

Download Form DAAS-8191 Special Assistance Re-enrollment Information Notice - North Carolina

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