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Form DMA-5048 Medicaid Transportation Exception Verification - North Carolina
What Is Form DMA-5048?
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 DMA-5048?
A: Form DMA-5048 is the Medicaid Transportation Exception Verification form used in North Carolina.
Q: Who uses Form DMA-5048?
A: Form DMA-5048 is used by individuals in North Carolina who need to verify exceptions to the regular Medicaid transportation services.
Q: What is the purpose of Form DMA-5048?
A: The purpose of Form DMA-5048 is to document and verify exceptions to the regular Medicaid transportation services provided in North Carolina.
Q: How do I fill out Form DMA-5048?
A: To fill out Form DMA-5048, provide the requested information about the individual requiring exception transportation and the reason for the exception.
Form Details:
- Released on January 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 DMA-5048 by clicking the link below or browse more documents and templates provided by the North Carolina Department of Health and Human Services.
Download Form DMA-5048 Medicaid Transportation Exception Verification - North Carolina
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