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Attachment 4.19B Supplement 5, Page 1 State Plan Under Title XIX of the Social Security Act Medical Assistance Program State: North Carolina Payments for Medical and Remedial Care and Services Payment
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How to fill out 19-b - medicaid

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Step 1: Gather all necessary documents, including your identification, proof of income, proof of residency, and any other relevant documentation.
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Step 2: Complete the Medicaid application form 19-b, providing accurate and detailed information about yourself and your household.
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Step 3: Attach all required supporting documents to the application form, such as income tax returns, pay stubs, and proof of residency.
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Step 4: Submit your completed application and supporting documents either in person at your local Medicaid office or online through the official Medicaid website.
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Step 5: Wait for your application to be reviewed and processed by the Medicaid department.
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Step 6: If your application is approved, you will receive a notification with your Medicaid benefits and coverage details.
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Step 7: Make sure to review your Medicaid coverage periodically and update any changes in your circumstances to ensure ongoing eligibility.

Who needs 19-b - medicaid?

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Individuals who have limited income and resources.
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Pregnant women and infants.
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Children and adolescents up to age 19.
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Low-income adults.
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Elderly individuals.
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Individuals with disabilities.
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Individuals in need of long-term care services.
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Families with children.
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