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Form DMA-5063 Health Check (Medicaid) Nc Health Choice for Children Application - North Carolina
What Is Form DMA-5063?
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 the DMA-5063 Health Check (Medicaid) Nc Health Choice for Children Application?
A: The DMA-5063 is an application form for Health Check (Medicaid) and Nc Health Choice for Children in North Carolina.
Q: Who can use the DMA-5063 Health Check (Medicaid) Nc Health Choice for Children Application?
A: Parents or guardians of children in North Carolina who need Health Check (Medicaid) or Nc Health Choice for Children can use this application.
Q: What is Health Check (Medicaid) in North Carolina?
A: Health Check is North Carolina's Medicaid program for children and teenagers.
Q: What is Nc Health Choice for Children in North Carolina?
A: Nc Health Choice for Children is a separate health insurance program for uninsured children in North Carolina.
Q: Is this application only for children?
A: Yes, this application is specifically for children and teenagers.
Q: Do I need to provide any supporting documents with the application?
A: Yes, you may need to provide certain supporting documents such as income verification, proof of citizenship, and medical records.
Q: How can I submit the completed application?
A: You can submit the completed application by mail or in person at your local Department of Social Services office.
Q: Is there a deadline to submit the application?
A: There is no specific deadline to submit the application, but it is recommended to apply as soon as possible.
Q: What happens after I submit the application?
A: After submitting the application, it will be reviewed by the Department of Social Services, and you will be notified of your eligibility for Health Check (Medicaid) or Nc Health Choice for Children.
Q: Can I apply for both Health Check (Medicaid) and Nc Health Choice for Children?
A: Yes, you can apply for both programs using the same application form.
Form Details:
- Released on February 1, 2012;
- 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-5063 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-5063 Health Check (Medicaid) Nc Health Choice for Children Application - North Carolina
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