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Get the free Registration Form for Basic N.C. Medicaid and N.C. Health Choice Seminars - ncdhhs

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This document serves as a registration form for healthcare providers wishing to attend seminars discussing N.C. Medicaid and N.C. Health Choice, detailing participant information and session selection.
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How to fill out registration form for basic

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How to fill out Registration Form for Basic N.C. Medicaid and N.C. Health Choice Seminars

01
Visit the official Medicaid or Health Choice seminar registration website.
02
Locate the Registration Form for Basic N.C. Medicaid and N.C. Health Choice Seminars.
03
Fill in your personal information, including your full name, address, phone number, and email address.
04
Provide any required identification or Medicaid number if applicable.
05
Indicate your preferred seminar date and time from the options provided.
06
Review your information for accuracy and completeness.
07
Submit the form online or print it out and send it to the designated registration address if required.

Who needs Registration Form for Basic N.C. Medicaid and N.C. Health Choice Seminars?

01
Individuals or families seeking information about Basic N.C. Medicaid.
02
Parents or guardians of children needing to enroll in N.C. Health Choice.
03
Healthcare providers looking to understand Medicaid services.
04
Community organizations helping clients access Medicaid services.
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People Also Ask about

Call your local Department of Social Services (DSS) to apply over the phone. How to find your local Department of Social Services: Use this directory or call the NC Medicaid Contact Center at 1-888-245-0179.
Definition: Dual Eligible Persons who are eligible for both Medicare and Medicaid are called “dual eligibles”, or sometimes, Medicare-Medicaid enrollees. To be considered dually eligible, persons must be enrolled in Medicare Part A (hospital insurance), and / or Medicare Part B (medical insurance).
Parents of Dependent Children: Income limits for 2025 are reported as a percentage of the federal poverty level (FPL). The 2025 FPL for a family of three is $26,650. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2025 FPL for an individual is $15,650.
Annual Renewals: Medicaid beneficiaries must renew their eligibility every year. This process often includes submitting updated financial information. Medicaid will review your bank statements to ensure you meet the financial requirements. Periodic Reviews: Medicaid can conduct periodic reviews at any time.
Prepare the following documents below for each person applying to help complete your application: Full legal name. Date of birth. Social Security number (or immigration documents) North Carolina residency. Income information (from paystubs, W-2 forms, tax returns or business records)
Prepare the following documents below for each person applying to help complete your application: Full legal name. Date of birth. Social Security number (or immigration documents) North Carolina residency. Income information (from paystubs, W-2 forms, tax returns or business records)
Under the expanded eligibility guidelines, Medicaid is available in North Carolina to a single adult with annual income up to about $20,782 in 2024 (this is 138% of the federal poverty level), and to adults in a family of three with a household income up to about $35,631/year.
The NCFAST-20020 is a prepopulated renewal form for the beneficiary to validate that current information remains the same or indicate changes and provide self-attestation of eligibility requirements, including income. It is used to help determine Medicaid eligibility.
An adult ages 19-64 may be eligible if the family income is $1,800/month or less. An adult ages 65+ may be eligible for full Medicaid if the family income is $1,305/month or less, and for other Medicaid programs if the family income is $1,761/month or less. Additional requirements apply.
The NCFAST-20020 is a prepopulated renewal form for the beneficiary to validate that current information remains the same or indicate changes and provide self-attestation of eligibility requirements, including income. It is used to help determine Medicaid eligibility.

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The Registration Form for Basic N.C. Medicaid and N.C. Health Choice Seminars is a document used to enroll participants in educational sessions that provide information about the Medicaid and Health Choice programs in North Carolina.
Individuals or organizations interested in attending the seminars, including health care providers, community organizations, and stakeholders involved in the Medicaid and Health Choice programs, are required to file the Registration Form.
To fill out the Registration Form, participants must provide necessary personal details such as name, contact information, and organization affiliation, and select the seminar they wish to attend, along with any special requirements.
The purpose of the Registration Form is to facilitate the organization and planning of the seminars by gathering necessary participant information and ensuring that there is adequate space and resources available for attendees.
The information that must be reported includes the participant's full name, contact details, organization name, the specific seminar date they are registering for, and any special needs or accommodations required.
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