Get the free N.C. DMA: Health Check Manual, Appendix 11, Technical Site Visit Form - ncdhhs
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HEALTH CHECK COORDINATION TECHNICAL SITE VISIT Network Name: Date of Technical Visit: Implementation Date: DM AHC Consultant: MA Regional Managed Care Consultant: Technical Site Visit Attendees: Confirm
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What is nc dma health check?
The nc dma health check refers to a health assessment form administered by the North Carolina Division of Medical Assistance (DMA). It is used to evaluate the health status and needs of individuals in order to determine eligibility for Medicaid and other health programs.
Who is required to file nc dma health check?
Any individual who is applying for Medicaid or related health programs in North Carolina is required to complete and file the nc dma health check.
How to fill out nc dma health check?
To fill out the nc dma health check, you need to provide accurate information about your health, medical history, current medications, and any existing conditions or disabilities. It is recommended to consult with a healthcare provider or caseworker for assistance in completing the form.
What is the purpose of nc dma health check?
The purpose of the nc dma health check is to assess the health needs of individuals applying for Medicaid and other health programs. It helps in determining eligibility, identifying necessary medical services, and ensuring appropriate care for recipients.
What information must be reported on nc dma health check?
The nc dma health check requires information such as personal details, medical history, current medications, allergies, disabilities, mental health conditions, and any special healthcare needs. It is important to provide accurate and complete information to ensure proper evaluation.
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