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Get the free N.C. DMA : RFA Waiver Questions and Answers - ncdhhs

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Questions and Answers 1915 (b)/ Medicaid Waiver Request for Applications March 10, 2010, Questions about the RFA # 1 Source CBH Question & Reference RFA Cover sheet: If there are additional questions
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How to fill out nc dma rfa waiver

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How to fill out the nc dma rfa waiver:

01
Begin by obtaining a copy of the nc dma rfa waiver form. You can typically find this on the website of the North Carolina Department of Medical Assistance (dma).
02
Carefully read through the instructions provided on the form. It is essential to understand the requirements and guidelines for filling out the waiver accurately.
03
Start by filling in your personal information, such as your name, address, contact details, and relevant identification numbers as requested in the designated sections.
04
Next, provide information about your current Medicaid coverage. This may include details about your Medicaid provider, policy number, and any other relevant information required by the form.
05
Proceed to the section where you need to disclose any assets or income you have. This may include information about your bank accounts, properties, vehicles, and other financial resources. Make sure to include accurate and up-to-date information.
06
If you have any dependents or family members who are also covered under Medicaid and would like them to be considered for the waiver, provide their details in the appropriate sections.
07
Additionally, you may be required to answer questions about your healthcare needs and preferences. Make sure to provide honest and comprehensive responses to the best of your knowledge.
08
Double-check all the information you have provided before submitting the form. Ensure that there are no errors or missing details that could potentially delay the processing of your waiver request.
09
Finally, sign and date the form in the designated areas, acknowledging that all the information provided is accurate and complete.
10
Make copies of the completed form for your records, then submit the original form to the appropriate office or address provided by the North Carolina Department of Medical Assistance.

Who needs nc dma rfa waiver:

01
Individuals who are applying for or currently receiving Medicaid benefits in North Carolina.
02
Those who require additional services or support beyond what is typically covered by Medicaid.
03
Individuals who meet the eligibility criteria and have a genuine need for specialized care or assistance that can be provided through the nc dma rfa waiver.
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