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NC Division of Medical Assistance
Private Duty Nursing
for Beneficiaries Age 21 and Older Medicaid and Health Choice
Clinical Coverage Policy No: 3G1
Amended Date: November 1, 2017Table of Contents
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NC DMA 3G-1 Private form is required by individuals who wish to apply for private health insurance coverage through the North Carolina Division of Medical Assistance (DMA). This form is particularly relevant for those who have disabilities or medical conditions and are seeking financial assistance for their healthcare expenses.
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What is nc dma 3g-1 private?
NC DMA 3G-1 private is a form used by healthcare providers to report private duty nursing services provided to Medicaid beneficiaries.
Who is required to file nc dma 3g-1 private?
Healthcare providers who provide private duty nursing services to Medicaid beneficiaries are required to file NC DMA 3G-1 private.
How to fill out nc dma 3g-1 private?
To fill out NC DMA 3G-1 private, healthcare providers need to provide detailed information about the private duty nursing services provided, including the dates of service, hours worked, and specific tasks performed.
What is the purpose of nc dma 3g-1 private?
The purpose of NC DMA 3G-1 private is to ensure that Medicaid beneficiaries receive appropriate private duty nursing services and to facilitate reimbursement for healthcare providers.
What information must be reported on nc dma 3g-1 private?
Healthcare providers must report detailed information about the private duty nursing services provided, including the dates of service, hours worked, specific tasks performed, and any other relevant details.
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